Healthcare Provider Details

I. General information

NPI: 1669265153
Provider Name (Legal Business Name): AMANDA BERT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 VIRGINIA AVE
ROCHESTER PA
15074-1723
US

IV. Provider business mailing address

63 PITT ST
SHARON PA
16146-2102
US

V. Phone/Fax

Practice location:
  • Phone: 724-770-9095
  • Fax: 724-770-9096
Mailing address:
  • Phone: 724-770-9095
  • Fax: 724-770-9096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC018550
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC018550
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: