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Organization

ELEMENTAL SELF INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN ELIZABETH KELLY LCSW, REAT, RYT-500 (OWNER)
(412) 779-2475
Entity
Organization

Contact information

Practice address
540 N NEVILLE ST STE 102, PITTSBURGH, PA 15213-2853
(412) 475-8122
Mailing address
586 HAZELWOOD AVE, PITTSBURGH, PA 15207-1231
(412) 779-2475

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/09/2025
Last updated
12/17/2025
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