Healthcare Provider Details

I. General information

NPI: 1811756299
Provider Name (Legal Business Name): LUMINAPATH COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 01/05/2025
Certification Date: 01/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 PERRY HWY
PITTSBURGH PA
15229-1819
US

IV. Provider business mailing address

1518 BROADWAY AVE
MC KEES ROCKS PA
15136-1704
US

V. Phone/Fax

Practice location:
  • Phone: 724-217-4227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: PAIGE MALNOFSKY
Title or Position: PROFESSIONAL COUNSELOR
Credential: MS, LPC, NCC
Phone: 724-217-4227