Healthcare Provider Details

I. General information

NPI: 1427797588
Provider Name (Legal Business Name): AMIE FEDERICO ATR-BC, CBIS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2022
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 4TH AVE STE 1801
PITTSBURGH PA
15222-1716
US

IV. Provider business mailing address

50 LEEMAN ST
EASTON PA
18045-6053
US

V. Phone/Fax

Practice location:
  • Phone: 412-532-1249
  • Fax:
Mailing address:
  • Phone: 484-896-8895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC011457
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberPC011457
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: