Healthcare Provider Details

I. General information

NPI: 1144345422
Provider Name (Legal Business Name): DEBORAH LYNNE OLBERT MS, LPC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

742 PERRY HWY
PITTSBURGH PA
15229-1160
US

IV. Provider business mailing address

742 PERRY HWY
PITTSBURGH PA
15229-1160
US

V. Phone/Fax

Practice location:
  • Phone: 309-838-1885
  • Fax: 309-827-0885
Mailing address:
  • Phone: 309-838-1885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180001607
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC011825
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: