Organization
DISINTEGRATION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARTER CUNNINGHAM LPC, NCC (OWNER)
(417) 408-5335
Entity
Organization
Contact information
Practice address
3229 W LIBERTY AVE STE 206, PITTSBURGH, PA 15216-2319
(412) 204-6156
Mailing address
3229 W LIBERTY AVE STE 206, PITTSBURGH, PA 15216-2319
(412) 204-6156
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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