Healthcare Provider Details

I. General information

NPI: 1013854041
Provider Name (Legal Business Name): SARAH MOZINGO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 BRODHEAD RD
CORAOPOLIS PA
15108-2322
US

IV. Provider business mailing address

917 HOWDEN ST
PITTSBURGH PA
15202-2837
US

V. Phone/Fax

Practice location:
  • Phone: 412-339-1782
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: