Healthcare Provider Details

I. General information

NPI: 1568376978
Provider Name (Legal Business Name): BREINNE MARIE REGAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MOUNT LEBANON BLVD STE 205E
PITTSBURGH PA
15234-1512
US

IV. Provider business mailing address

3102 VERNON AVE
PITTSBURGH PA
15227-4229
US

V. Phone/Fax

Practice location:
  • Phone: 412-480-4150
  • Fax:
Mailing address:
  • Phone: 412-480-4150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC021108
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: