Healthcare Provider Details

I. General information

NPI: 1114613239
Provider Name (Legal Business Name): ERICA CONNER-VAN BUREN LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5992 STEUBENVILLE PIKE STE 205
MC KEES ROCKS PA
15136-1352
US

IV. Provider business mailing address

3202 MCKNIGHT EAST DR # 382
PITTSBURGH PA
15237-6423
US

V. Phone/Fax

Practice location:
  • Phone: 412-329-7412
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC020177
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: