Provider Demographics
NPI:1811407976
Name:SPROUT CENTER FOR EMOTIONAL GROWTH AND DEVELOPMENT, LLC
Entity Type:Organization
Organization Name:SPROUT CENTER FOR EMOTIONAL GROWTH AND DEVELOPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TROUP
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-882-8471
Mailing Address - Street 1:210 OWENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-2304
Mailing Address - Country:US
Mailing Address - Phone:570-640-5395
Mailing Address - Fax:
Practice Address - Street 1:4127 BROWNSVILLE RD STE 205
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-3348
Practice Address - Country:US
Practice Address - Phone:412-882-8471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006180101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty