Provider Demographics
NPI:1912727462
Name:BANYAN TREE THERAPY & CONSULTING
Entity type:Organization
Organization Name:BANYAN TREE THERAPY & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLINTOCK-COMEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-206-9510
Mailing Address - Street 1:237 CHEROKEE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1515
Mailing Address - Country:US
Mailing Address - Phone:412-651-4003
Mailing Address - Fax:
Practice Address - Street 1:20 DONATI RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1000
Practice Address - Country:US
Practice Address - Phone:412-206-9510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty