Healthcare Provider Details

I. General information

NPI: 1710802574
Provider Name (Legal Business Name): MAYA GABRIELLE ROWE LAPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 N MCKEAN ST
BUTLER PA
16001-4928
US

IV. Provider business mailing address

349 N MCKEAN ST
BUTLER PA
16001-4928
US

V. Phone/Fax

Practice location:
  • Phone: 724-282-0332
  • Fax: 724-282-2406
Mailing address:
  • Phone: 724-282-0332
  • Fax: 724-282-2406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC002667
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: