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Organization
SHAPE MENTAL HEALTH & WELLNESS, LLC.
Active
Organization
SHAPE MENTAL HEALTH & WELLNESS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD JAMES HANES MS, MBA, LPC, NCC (OWNER / THERAPIST)
(412) 518-2158
Entity
Organization
Contact information
Practice address
100 GLOBAL VIEW DR, WARRENDALE, PA 15086-7612
(412) 518-2158
Mailing address
100 GLOBAL VIEW DR, WARRENDALE, PA 15086-7612
(412) 518-2158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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