Provider Demographics
NPI:1447898986
Name:FOX CHAPEL COUNSELING & GRIEF CENTER
Entity type:Organization
Organization Name:FOX CHAPEL COUNSELING & GRIEF CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARA
Authorized Official - Middle Name:KROTEC
Authorized Official - Last Name:BAGINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-303-1928
Mailing Address - Street 1:630 FOXHURST RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1826
Mailing Address - Country:US
Mailing Address - Phone:412-303-1928
Mailing Address - Fax:
Practice Address - Street 1:1376 FREEPORT RD STE 3A
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3110
Practice Address - Country:US
Practice Address - Phone:412-303-1928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty