Healthcare Provider Details

I. General information

NPI: 1750200515
Provider Name (Legal Business Name): ABIGAIL ROSENBAUM MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 RENAISSANCE DR STE 301
BUTLER PA
16001-7612
US

IV. Provider business mailing address

223 HOME AVE
BUTLER PA
16001-2777
US

V. Phone/Fax

Practice location:
  • Phone: 724-287-1880
  • Fax: 724-282-1848
Mailing address:
  • Phone: 724-496-4488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020665
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: