Healthcare Provider Details

I. General information

NPI: 1124767553
Provider Name (Legal Business Name): HEIDI MAE ELTSCHLAGER MS, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5541 WALNUT ST STE 3
PITTSBURGH PA
15232
US

IV. Provider business mailing address

5541 WALNUT ST STE 3
PITTSBURGH PA
15232-2352
US

V. Phone/Fax

Practice location:
  • Phone: 412-291-8155
  • Fax:
Mailing address:
  • Phone: 412-291-8155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC014543
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: