Healthcare Provider Details

I. General information

NPI: 1659251460
Provider Name (Legal Business Name): STEPHANIE MARIE POPE MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 W STATE ST STE 208
SHARON PA
16146-1377
US

IV. Provider business mailing address

1525 FOOTSVILLE RD
LINESVILLE PA
16424-6431
US

V. Phone/Fax

Practice location:
  • Phone: 814-866-4500
  • Fax: 814-866-4660
Mailing address:
  • Phone: 814-866-4500
  • Fax: 814-866-4660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC009439
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: