Healthcare Provider Details

I. General information

NPI: 1346171402
Provider Name (Legal Business Name): ELEVTHERA WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1384 OLD FREEPORT RD STE 3AF2
PITTSBURGH PA
15238-3129
US

IV. Provider business mailing address

1384 OLD FREEPORT RD STE 3AF2
PITTSBURGH PA
15238-3129
US

V. Phone/Fax

Practice location:
  • Phone: 724-584-4305
  • 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: ALECIA DENILLO
Title or Position: CLINICAL DIRECTOR
Credential: LPC
Phone: 724-584-4305