Organization
INNOVATIVE GUIDANCE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAIAH GWINN LCSW (OWNER)
(412) 945-0745
Entity
Organization
Contact information
Practice address
635 MONONGAHELA AVE, GLASSPORT, PA 15045-1607
(412) 945-0745
(412) 290-7650
Mailing address
308 7TH ST, GLASSPORT, PA 15045-1614
(412) 945-0745
(412) 290-7650
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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