Organization
INNER PRISM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN KELLY LSW (PRACTICE OWNER/THERAPIST)
(412) 528-6778
Entity
Organization
Contact information
Practice address
907 WEST ST, PITTSBURGH, PA 15221-2838
(412) 528-6778
(412) 240-4658
Mailing address
206 PHILLIPS DR, PITTSBURGH, PA 15241-1320
(412) 528-6778
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/07/2025
Last updated
06/09/2025
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