Provider Demographics
NPI:1407699002
Name:STILL BLOOMING COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:STILL BLOOMING COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-216-1739
Mailing Address - Street 1:831 6TH ST
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-2152
Mailing Address - Country:US
Mailing Address - Phone:412-216-1739
Mailing Address - Fax:
Practice Address - Street 1:733 N HIGHLAND AVE STE 301
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-2573
Practice Address - Country:US
Practice Address - Phone:412-204-7356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty