Healthcare Provider Details

I. General information

NPI: 1497335962
Provider Name (Legal Business Name): JEWELE VENISE EVANS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 WASHINGTON AVE
CARNEGIE PA
15106-4112
US

IV. Provider business mailing address

327 SMOKEY WOOD DR
PITTSBURGH PA
15218-2716
US

V. Phone/Fax

Practice location:
  • Phone: 412-294-8287
  • Fax:
Mailing address:
  • Phone: 412-773-9816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC013124
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: