Basic Information
| Provider Information | |||||||||
| NPI: | 1932503125 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | JOEL | ||||||||
| MiddleName: | JOSHUA | ||||||||
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| Credential: | MA, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4900 PERRY HWY. | ||||||||
| Address2: | BLDG II, SUITE 200 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152292322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7248508118 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1380 ROUTE 286 HWY E STE 524 | ||||||||
| Address2: | |||||||||
| City: | INDIANA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 157011482 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244650369 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2014 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | PC009523 | PA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.