Healthcare Provider Details

I. General information

NPI: 1669984910
Provider Name (Legal Business Name): ANDREA BIGENHO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2017
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3229 W LIBERTY AVE STE 206
PITTSBURGH PA
15216-2319
US

IV. Provider business mailing address

122 OAK LN
CANONSBURG PA
15317-2440
US

V. Phone/Fax

Practice location:
  • Phone: 724-980-4491
  • Fax:
Mailing address:
  • Phone: 724-980-4491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: