Healthcare Provider Details
I. General information
NPI: 1477431351
Provider Name (Legal Business Name): DARIETH BURKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/26/2025
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4727 FRIENDSHIP AVE STE 180
PITTSBURGH PA
15224-1778
US
IV. Provider business mailing address
417 GLEN MALCOLM DR APT B
GLENSHAW PA
15116-2746
US
V. Phone/Fax
- Phone: 412-203-4835
- Fax:
- Phone: 412-849-6131
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | PC018607 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: