Healthcare Provider Details

I. General information

NPI: 1922918630
Provider Name (Legal Business Name): VICTORIA ELISE GROVES MA, R-DMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 E CARSON ST
PITTSBURGH PA
15203-2191
US

IV. Provider business mailing address

28 STARR RD
CHESWICK PA
15024-2114
US

V. Phone/Fax

Practice location:
  • Phone: 412-246-6880
  • 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 StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: