Provider Demographics
NPI:1629871462
Name:JOHN MITTNER LLC
Entity type:Organization
Organization Name:JOHN MITTNER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MITTNER
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-443-0700
Mailing Address - Street 1:3045 WINDERMERE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-1860
Mailing Address - Country:US
Mailing Address - Phone:412-443-0700
Mailing Address - Fax:
Practice Address - Street 1:250 MOUNT LEBANON BLVD STE 320
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1248
Practice Address - Country:US
Practice Address - Phone:412-443-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty