Provider Demographics
NPI:1740786987
Name:THE CENTER FOR OCD AND ANXIETY, LLC
Entity Type:Organization
Organization Name:THE CENTER FOR OCD AND ANXIETY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST, DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-256-8256
Mailing Address - Street 1:244 CENTER RD STE 301
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1789
Mailing Address - Country:US
Mailing Address - Phone:412-256-8256
Mailing Address - Fax:888-971-4394
Practice Address - Street 1:244 CENTER RD STE 301
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1789
Practice Address - Country:US
Practice Address - Phone:412-256-8256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0179301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty