Healthcare Provider Details
I. General information
NPI: 1831046101
Provider Name (Legal Business Name): OAKWELL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5896 ELLSWORTH AVE
PITTSBURGH PA
15232-1738
US
IV. Provider business mailing address
5831 FORWARD AVE # 1430
PITTSBURGH PA
15217-2301
US
V. Phone/Fax
- Phone: 412-254-3166
- Fax:
- Phone: 412-254-3166
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOSEPH
CARL
PEDULLA
Title or Position: SOLE PROPRIETOR
Credential: M.ED., LCP
Phone: 412-706-0894