Provider Demographics
NPI:1982060042
Name:MY LIFE COUNSELING LLC
Entity Type:Organization
Organization Name:MY LIFE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:PIRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:1412-403-5512
Mailing Address - Street 1:520 WASHINGTON RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2819
Mailing Address - Country:US
Mailing Address - Phone:412-403-5512
Mailing Address - Fax:412-668-2054
Practice Address - Street 1:520 WASHINGTON RD
Practice Address - Street 2:SUITE 203
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2819
Practice Address - Country:US
Practice Address - Phone:412-403-5512
Practice Address - Fax:412-668-2054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005196251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health