Healthcare Provider Details

I. General information

NPI: 1073647830
Provider Name (Legal Business Name): MARIA ELISA KITAY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 11/20/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WILLIAMSBURG PLACE SUITE 220
WARRENDALE PA
15086
UM

IV. Provider business mailing address

225 WOODBRIDGE CT
PITTSBURGH PA
15237-3353
US

V. Phone/Fax

Practice location:
  • Phone: 412-526-6710
  • Fax:
Mailing address:
  • Phone: 412-526-6710
  • Fax: 412-821-2685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number000216
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC000216
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: