Provider Demographics
NPI:1952508780
Name:COUNSELING & BEHAVIOR SPECIALISTS PC
Entity Type:Organization
Organization Name:COUNSELING & BEHAVIOR SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SADIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:STRICK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-765-1665
Mailing Address - Street 1:429 FORBES AVENUE
Mailing Address - Street 2:SUITE 1614
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-1604
Mailing Address - Country:US
Mailing Address - Phone:412-765-1665
Mailing Address - Fax:412-765-0620
Practice Address - Street 1:429 FORBES AVENUE
Practice Address - Street 2:SUITE 1614
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-1604
Practice Address - Country:US
Practice Address - Phone:412-765-1665
Practice Address - Fax:412-765-0620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1016787100001Medicaid
PA1016787100001Medicaid