Provider Demographics
NPI:1104224328
Name:HEALTHY CONNECTIONS
Entity type:Organization
Organization Name:HEALTHY CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAILEE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:RICHTER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:724-413-3070
Mailing Address - Street 1:2585 WASHINGTON RD
Mailing Address - Street 2:BUILDING 100 SUITE 132
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2565
Mailing Address - Country:US
Mailing Address - Phone:724-413-3070
Mailing Address - Fax:
Practice Address - Street 1:2585 WASHINGTON RD
Practice Address - Street 2:BUILDING 100 SUITE 132
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2565
Practice Address - Country:US
Practice Address - Phone:724-413-3070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005582101YM0800X
PAMF000781106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty