Provider Demographics
NPI:1982438404
Name:ROAD LESS TRAVELED COUNSELING & CONSULTING LLC
Entity type:Organization
Organization Name:ROAD LESS TRAVELED COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CZAK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-612-8925
Mailing Address - Street 1:2074 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-4412
Mailing Address - Country:US
Mailing Address - Phone:412-612-8925
Mailing Address - Fax:
Practice Address - Street 1:118 N MAIN ST STE 10
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2419
Practice Address - Country:US
Practice Address - Phone:724-890-5180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty