Provider Demographics
NPI:1740659499
Name:MAYA ORGANIZATION
Entity type:Organization
Organization Name:MAYA ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOMILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:MSPC, LPC
Authorized Official - Phone:412-945-7670
Mailing Address - Street 1:3720 WAPELLO ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-1916
Mailing Address - Country:US
Mailing Address - Phone:412-945-7670
Mailing Address - Fax:412-945-7670
Practice Address - Street 1:512 FORELAND ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4911
Practice Address - Country:US
Practice Address - Phone:412-945-7670
Practice Address - Fax:412-945-7670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW131389251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health