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Organization
412 THERAPY CO
Active
Organization
412 THERAPY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL WASSON LPC, PMHC (OWNER/THERAPIST)
(724) 747-3854
Entity
Organization
Contact information
Practice address
927 BROOKLINE BLVD, PITTSBURGH, PA 15226-2181
(724) 747-3854
Mailing address
516 HIGHFIELD AVE, CANONSBURG, PA 15317-1245
(724) 747-3854
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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