Provider Demographics
NPI:1841040631
Name:CHRISTOPHER L STOUGH
Entity type:Organization
Organization Name:CHRISTOPHER L STOUGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:STOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-385-7129
Mailing Address - Street 1:633 LONG RUN RD STE 104
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-7424
Mailing Address - Country:US
Mailing Address - Phone:412-385-7129
Mailing Address - Fax:412-896-1272
Practice Address - Street 1:633 LONG RUN RD STE 104
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-7424
Practice Address - Country:US
Practice Address - Phone:412-385-7129
Practice Address - Fax:412-896-1272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty