Provider Demographics
NPI:1174992366
Name:SOUTH HILLS PSYCHOTHERAPY ASSOCIATES, LLC
Entity type:Organization
Organization Name:SOUTH HILLS PSYCHOTHERAPY ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORBIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-945-0692
Mailing Address - Street 1:101 DRAKE RD STE E
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1556
Mailing Address - Country:US
Mailing Address - Phone:412-999-7937
Mailing Address - Fax:412-774-2627
Practice Address - Street 1:101 DRAKE RD STE E
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1556
Practice Address - Country:US
Practice Address - Phone:412-945-0692
Practice Address - Fax:412-774-2627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-18
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006282101YP2500X, 101YM0800X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty