Healthcare Provider Details

I. General information

NPI: 1497688089
Provider Name (Legal Business Name): AMANDA SOBIESKI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 ROUTE 228
MARS PA
16046-3150
US

IV. Provider business mailing address

521 ROUTE 228
MARS PA
16046-3150
US

V. Phone/Fax

Practice location:
  • Phone: 724-625-3141
  • Fax: 724-625-2226
Mailing address:
  • Phone: 724-625-3141
  • Fax: 724-625-2226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: