Healthcare Provider Details

I. General information

NPI: 1124938139
Provider Name (Legal Business Name): RACHELE HEASLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2403 SIDNEY ST STE 271
PITTSBURGH PA
15203-2163
US

IV. Provider business mailing address

2403 SIDNEY ST STE 271
PITTSBURGH PA
15203-2163
US

V. Phone/Fax

Practice location:
  • Phone: 412-564-6948
  • Fax: 412-265-6531
Mailing address:
  • Phone: 412-564-6948
  • Fax: 412-265-6531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: