Healthcare Provider Details

I. General information

NPI: 1992615033
Provider Name (Legal Business Name): EMILY PINO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 E END AVE
BEAVER PA
15009-2808
US

IV. Provider business mailing address

276 E END AVE
BEAVER PA
15009-2808
US

V. Phone/Fax

Practice location:
  • Phone: 724-775-0758
  • Fax: 724-775-0899
Mailing address:
  • Phone: 724-775-0758
  • Fax: 724-775-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020992
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: