Healthcare Provider Details

I. General information

NPI: 1154952281
Provider Name (Legal Business Name): CHEYENNE SAVANNA HOLYFIELD-NAGLICH BA, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHEYENNE SAVANNA HOLYFIELD BA, MS

II. Dates (important events)

Enumeration Date: 01/28/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7371 THOMAS BLVD # 205
PITTSBURGH PA
15208-2508
US

IV. Provider business mailing address

7371 THOMAS BLVD # 205
PITTSBURGH PA
15208-2508
US

V. Phone/Fax

Practice location:
  • Phone: 412-876-7284
  • Fax:
Mailing address:
  • Phone: 412-876-7284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC014753
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: