Provider Demographics
NPI:1336896596
Name:DYLAN A MORRELL
Entity Type:Organization
Organization Name:DYLAN A MORRELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:DYLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MC
Authorized Official - Phone:724-809-5360
Mailing Address - Street 1:470 STREETS RUN RD STE 402
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2073
Mailing Address - Country:US
Mailing Address - Phone:888-924-3627
Mailing Address - Fax:888-244-7140
Practice Address - Street 1:470 STREETS RUN RD STE 402
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2073
Practice Address - Country:US
Practice Address - Phone:724-809-5360
Practice Address - Fax:888-244-7140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA004688517OtherBLUE CROSS BLUE SHIELD