Healthcare Provider Details

I. General information

NPI: 1245154897
Provider Name (Legal Business Name): SKYE AMBER STOCUM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1391 WASHINGTON BLVD
PITTSBURGH PA
15206-1801
US

IV. Provider business mailing address

318 W COLLEGE ST APT 2
CANONSBURG PA
15317-1131
US

V. Phone/Fax

Practice location:
  • Phone: 412-339-1741
  • Fax:
Mailing address:
  • Phone: 484-378-6158
  • 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: