Provider Demographics
NPI:1972327468
Name:WHISNERS AGDS SERVICES
Entity type:Organization
Organization Name:WHISNERS AGDS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WHISNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:724-802-5132
Mailing Address - Street 1:125 DEEMS PARK RD
Mailing Address - Street 2:
Mailing Address - City:DAISYTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15427-1093
Mailing Address - Country:US
Mailing Address - Phone:724-802-5132
Mailing Address - Fax:
Practice Address - Street 1:407 STREETS RUN RD STE 201
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2008
Practice Address - Country:US
Practice Address - Phone:724-812-3030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty