Provider Demographics
NPI:1952159923
Name:PREMIER THERAPY ASSOCIATES 4
Entity Type:Organization
Organization Name:PREMIER THERAPY ASSOCIATES 4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-514-1514
Mailing Address - Street 1:3757 LIBRARY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-2271
Mailing Address - Country:US
Mailing Address - Phone:412-514-1514
Mailing Address - Fax:
Practice Address - Street 1:3757 LIBRARY RD STE 200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-2271
Practice Address - Country:US
Practice Address - Phone:412-514-1514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health