Healthcare Provider Details

I. General information

NPI: 1366007882
Provider Name (Legal Business Name): REBEKAH GRACE BERNA LPC, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2019
Last Update Date: 05/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4810 LIBERTY AVE
PITTSBURGH PA
15224-2108
US

IV. Provider business mailing address

509 ALLENBY AVE
PITTSBURGH PA
15218-1303
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-9700
  • Fax: 412-578-9800
Mailing address:
  • Phone: 312-351-4425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number16-143
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC009899
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: