MEDICARE: WHOLELIFE INTEGRATIVE THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1831694116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLELIFE INTEGRATIVE THERAPY, LLC

Provider Business Mailing Address
First Line	:	6086 BROWNSVILLE ROAD EXT
Second Line	:
City	:	FINLEYVILLE
State	:	PA
Zip	:	15332-4121
Country	:	US
Telephone Number	:	724-986-0479
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 VALLEY BROOK RD STE 206
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3428
Country	:	US
Telephone Number	:	724-292-4751
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	MS. CHRISTINA PUCEL
Credential	:	LPC
Telephone Number	:	724-986-0479

Provider Enumeration Date	:	03/28/2018
Last Update Date	:	05/20/2026

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