Provider Demographics
NPI:1609647668
Name:EMBODIED HOPE PSYCHOLOGICAL PLLC
Entity Type:Organization
Organization Name:EMBODIED HOPE PSYCHOLOGICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BILSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-201-4586
Mailing Address - Street 1:6000 TOWN CENTER BLVD STE 132
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-5833
Mailing Address - Country:US
Mailing Address - Phone:724-201-4586
Mailing Address - Fax:
Practice Address - Street 1:6000 TOWN CENTER BLVD STE 132
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-5833
Practice Address - Country:US
Practice Address - Phone:724-201-4586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty