Healthcare Provider Details
I. General information
NPI: 1730933110
Provider Name (Legal Business Name): PITTSBURGH COUNSELING PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2024
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4328 OLD WILLIAM PENN HWY
MONROEVILLE PA
15146-1496
US
IV. Provider business mailing address
4328 OLD WILLIAM PENN HWY
MONROEVILLE PA
15146-1496
US
V. Phone/Fax
- Phone: 412-380-6009
- Fax: 412-380-6009
- Phone: 412-380-6009
- Fax: 412-380-6009
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: MR.
WALTER
A
SPOSKOSKI
JR.
Title or Position: SOLE MBR
Credential: LCSW
Phone: 412-380-6009