Provider Demographics
NPI:1063163996
Name:SYCAMORE COUNSELING LLC
Entity type:Organization
Organization Name:SYCAMORE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SHREVE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-212-6621
Mailing Address - Street 1:300 MOUNT LEBANON BLVD STE 205E
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1512
Mailing Address - Country:US
Mailing Address - Phone:412-212-6621
Mailing Address - Fax:
Practice Address - Street 1:300 MOUNT LEBANON BLVD STE 205E
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1512
Practice Address - Country:US
Practice Address - Phone:412-212-6621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty