Healthcare Provider Details

I. General information

NPI: 1972467611
Provider Name (Legal Business Name): AMANDA PADGETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N BELLEFIELD AVE STE 6
PITTSBURGH PA
15213-2600
US

IV. Provider business mailing address

100 N BELLEFIELD AVE STE 6
PITTSBURGH PA
15213-2600
US

V. Phone/Fax

Practice location:
  • Phone: 412-246-5619
  • Fax: 412-246-5610
Mailing address:
  • Phone: 412-246-5619
  • Fax: 412-246-5610

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: