Healthcare Provider Details

I. General information

NPI: 1386233070
Provider Name (Legal Business Name): KACHINA WENONA MOONEY MA, LPC, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2021
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 S HIGHLAND AVE STE 3-12
PITTSBURGH PA
15206-3968
US

IV. Provider business mailing address

PO BOX 3214
MUNHALL PA
15120-6214
US

V. Phone/Fax

Practice location:
  • Phone: 412-444-5174
  • Fax: 412-361-9764
Mailing address:
  • Phone: 412-444-5174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC015540
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number21-002
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: