Healthcare Provider Details

I. General information

NPI: 1043145493
Provider Name (Legal Business Name): KIMBERLY FREY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 CORPORATE DR STE 300
PITTSBURGH PA
15237-5886
US

IV. Provider business mailing address

1434 8TH AVE
NEW BRIGHTON PA
15066-2226
US

V. Phone/Fax

Practice location:
  • Phone: 412-205-8402
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: