Healthcare Provider Details

I. General information

NPI: 1659249266
Provider Name (Legal Business Name): GO GLO THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
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

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

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: PROF. KACHINA W MOONEY
Title or Position: OWNER
Credential: MA, LPC, ART-BC
Phone: 412-444-5174