Healthcare Provider Details
I. General information
NPI: 1790258267
Provider Name (Legal Business Name): VICTORIA ELENA PHILLIPPI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/08/2019
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
744 SHENANGO RD STE 3
BEAVER FALLS PA
15010-7111
US
IV. Provider business mailing address
744 SHENANGO RD STE 3
BEAVER FALLS PA
15010-7111
US
V. Phone/Fax
- Phone: 724-624-7740
- Fax: 724-384-0037
- Phone: 724-624-7740
- Fax: 724-384-0037
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | PC010764 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: