Organization
PROVENANCE COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUIANA M GOLPHIN PHD, LPC, NCC (LICENSED PROFESSIONAL COUNSELOR)
(412) 223-7290
Entity
Organization
Contact information
Practice address
5001 BAUM BLVD STE 484, PITTSBURGH, PA 15213-1852
(412) 223-7290
Mailing address
5001 BAUM BLVD STE 484, PITTSBURGH, PA 15213-1852
(412) 223-7290
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
07/07/2023
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