Provider Demographics
NPI:1699921445
Name:BLG COUNSELING LLC
Entity type:Organization
Organization Name:BLG COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-760-3851
Mailing Address - Street 1:2390 HOLLYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-2717
Mailing Address - Country:US
Mailing Address - Phone:412-760-3851
Mailing Address - Fax:412-271-7450
Practice Address - Street 1:7455 CHURCH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-2430
Practice Address - Country:US
Practice Address - Phone:412-760-3851
Practice Address - Fax:412-271-7450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000640101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty