TERESA ELAINE BLACKBURN LPC
NPI 1013486208
Counselor - Professional in Pittsburgh, PA
Active since November 16, 2018
About Teresa Elaine Blackburn Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERESA ELAINE BLACKBURN LPC (NPI 1013486208) is an individual professional provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (PC010795) and active in the NPI registry since November 2018. She maintains a secondary practice location in Pittsburgh.
NPPES Registry Identity
NPI1013486208
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTERESA ELAINE BLACKBURNCredential: LPC
Location Address200 HIGH TOWER BLVD STE 306Pittsburgh, PA 15205-1135
Mailing Address136 S Avalon DrWintersville, OH 43953-3706 · (740) 461-4829
Phone(740) 461-4829
Sole ProprietorYes
Enumeration DateNovember 16, 2018
✔ NPI 1013486208 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC010795
200 HIGH TOWER BLVD STE 306, Pittsburgh, PA 15205
Secondary Practice Location 1
Location 11425 Forbes AvePittsburgh, PA 15219-5140 · Phone (412) 363-1702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013486208, enumerated as an "individual" on November 16, 2018.
The provider is located at 200 HIGH TOWER BLVD STE 306 PITTSBURGH, PA 15205 and the phone number is (740) 461-4829.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
