Organization
PSYCHE FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA SANDERSON MS, LPC (LICENSED PROFESSIONAL COUNSELOR)
(412) 370-2665
Entity
Organization
Contact information
Practice address
22 MORGANTOWN ST, UNIONTOWN, PA 15401-3306
(724) 550-4270
Mailing address
510 PAUL CT, UNIONTOWN, PA 15401-5350
(412) 370-2665
(724) 550-4270
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PC010183
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013416171
NPI
—
Enumeration date
03/21/2018
Last updated
03/21/2018
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