Provider Demographics
NPI:1669005203
Name:NORTH SHORE COUNSELING SERVICES
Entity Type:Organization
Organization Name:NORTH SHORE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAGARIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:NELLORI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-335-7653
Mailing Address - Street 1:901 WESTERN AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15233-1719
Mailing Address - Country:US
Mailing Address - Phone:412-335-7653
Mailing Address - Fax:888-244-7140
Practice Address - Street 1:901 WESTERN AVE STE 202
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15233-1719
Practice Address - Country:US
Practice Address - Phone:412-335-7653
Practice Address - Fax:888-244-7140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty