Healthcare Provider Details

I. General information

NPI: 1801701057
Provider Name (Legal Business Name): STEPHEN JOSEPH MAURO MS, LAPC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10431 PERRY HWY STE 210
WEXFORD PA
15090-9200
US

IV. Provider business mailing address

10431 PERRY HWY STE 210
WEXFORD PA
15090-9200
US

V. Phone/Fax

Practice location:
  • Phone: 724-201-2484
  • Fax:
Mailing address:
  • Phone: 724-201-2484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberAPC002696
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: