Healthcare Provider Details

I. General information

NPI: 1750588984
Provider Name (Legal Business Name): GREG MISCIK & COUNSELING ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 LIGONIER ST
LATROBE PA
15650-1832
US

IV. Provider business mailing address

PO BOX 601
LATROBE PA
15650-0601
US

V. Phone/Fax

Practice location:
  • Phone: 724-537-0760
  • Fax:
Mailing address:
  • Phone: 724-537-0760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC004110
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPS006500L
License Number StatePA

VIII. Authorized Official

Name: MR. GREGORY P. MISCIK
Title or Position: PARTNER
Credential: LPC
Phone: 724-537-0760