Healthcare Provider Details

I. General information

NPI: 1164251682
Provider Name (Legal Business Name): JOSE GUZMAN-CORRALES LPC, ATR-P
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5541 WALNUT ST STE 3
PITTSBURGH PA
15232-2352
US

IV. Provider business mailing address

1022 EAGLES NEST LN
MONROEVILLE PA
15146-1752
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC019355
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: