Provider Demographics
NPI:1104687862
Name:SELF CARE CONVERSATIONS LLC
Entity type:Organization
Organization Name:SELF CARE CONVERSATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-747-4037
Mailing Address - Street 1:510 WASHINGTON AVE UNIT 301
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-2874
Mailing Address - Country:US
Mailing Address - Phone:724-747-4037
Mailing Address - Fax:
Practice Address - Street 1:510 WASHINGTON AVE UNIT 301
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2874
Practice Address - Country:US
Practice Address - Phone:724-747-4037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty