Provider Demographics
NPI:1285370783
Name:A POTTERS WHEEL COUNSELING SERVICES
Entity type:Organization
Organization Name:A POTTERS WHEEL COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:KIVUVA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-447-1120
Mailing Address - Street 1:32 FALKIRK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4605
Mailing Address - Country:US
Mailing Address - Phone:412-447-1120
Mailing Address - Fax:
Practice Address - Street 1:11524 FRANKSTOWN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3117
Practice Address - Country:US
Practice Address - Phone:412-447-1120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-07
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health