Healthcare Provider Details

I. General information

NPI: 1255972774
Provider Name (Legal Business Name): GINA MANGONE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2019
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 INFINITY DR STE 230
MONROEVILLE PA
15146-2064
US

IV. Provider business mailing address

1000 INFINITY DR STE 230
MONROEVILLE PA
15146-2064
US

V. Phone/Fax

Practice location:
  • Phone: 412-716-3588
  • Fax:
Mailing address:
  • Phone: 412-716-3588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC010887
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: