Provider Demographics
NPI:1467898684
Name:ELLIOT, MIKE (MSPC, NCC, LPC)
Entity type:Individual
Prefix:
First Name:MIKE
Middle Name:
Last Name:ELLIOT
Suffix:
Gender:M
Credentials:MSPC, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N WHITFIELD ST STE 302
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:412-228-4497
Practice Address - Street 1:211 N WHITFIELD ST STE 302
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3039
Practice Address - Country:US
Practice Address - Phone:412-212-6909
Practice Address - Fax:412-228-4497
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2024-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor