Healthcare Provider Details

I. General information

NPI: 1700857596
Provider Name (Legal Business Name): HOLLY BRANTHOOVER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 5TH ST STE 303
WEST ELIZABETH PA
15088-1019
US

IV. Provider business mailing address

106 COZY LN
BELLE VERNON PA
15012-2302
US

V. Phone/Fax

Practice location:
  • Phone: 412-841-9784
  • Fax:
Mailing address:
  • Phone: 412-841-9784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC003103
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: