Healthcare Provider Details

I. General information

NPI: 1497676415
Provider Name (Legal Business Name): VICTORIA I EMERY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 RAMSEY RD
MONROEVILLE PA
15146-4822
US

IV. Provider business mailing address

2116 RAMSEY RD
MONROEVILLE PA
15146-4822
US

V. Phone/Fax

Practice location:
  • Phone: 304-906-5115
  • Fax:
Mailing address:
  • Phone: 304-906-5115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002588
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: