Healthcare Provider Details

I. General information

NPI: 1861947186
Provider Name (Legal Business Name): JESSICA BOROWITZ LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2016
Last Update Date: 12/14/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 OLD ROUTE 119 HWY SOUTH
HOMER CITY PA
15748
US

IV. Provider business mailing address

520 NEAL RD
HOMER CITY PA
15748-7205
US

V. Phone/Fax

Practice location:
  • Phone: 724-388-2257
  • Fax:
Mailing address:
  • Phone: 724-388-2257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC009080
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC009080
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: