Organization
HOPE GROWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M STORY LPC (EXECUTIVE DIRECTOR)
(412) 369-4673
Entity
Organization
Contact information
Practice address
183 SHAFER RD, MOON TOWNSHIP, PA 15108-1056
(412) 369-4673
(412) 369-4673
Mailing address
183 SHAFER RD, MOON TOWNSHIP, PA 15108-1056
(412) 369-4673
(412) 369-4673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC007396
PA
251S00000X
Community/Behavioral Health Agency
PC007396
PA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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