Healthcare Provider Details

I. General information

NPI: 1932636594
Provider Name (Legal Business Name): ELIZABETH ANN BENNETT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2017
Last Update Date: 10/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 E. BRADY STREET SUITE 100
BUTLER PA
16001
US

IV. Provider business mailing address

1000 GAMMA DR. SUITE 100
PITTSBURGH PA
15238
US

V. Phone/Fax

Practice location:
  • Phone: 724-282-1627
  • Fax: 412-219-5599
Mailing address:
  • Phone: 724-282-1627
  • Fax: 412-219-5599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC008537
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: