Provider Demographics
NPI:1932497336
Name:STAY COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:STAY COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:STAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-653-7829
Mailing Address - Street 1:470 STREETS RUN RD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2023
Mailing Address - Country:US
Mailing Address - Phone:412-653-7829
Mailing Address - Fax:412-653-7828
Practice Address - Street 1:470 STREETS RUN RD
Practice Address - Street 2:SUITE 402
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2023
Practice Address - Country:US
Practice Address - Phone:412-653-7829
Practice Address - Fax:412-653-7828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-19
Last Update Date:2015-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW145801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA342143OtherMNH
PA11625443OtherCQHQ
PA556099OtherHIGHMARK BC/BS
PA000075977OtherUNITED BEHAVIORAL HEALTH
PA296292000OtherMAGELLAN
PA296292000OtherMAGELLAN