Healthcare Provider Details

I. General information

NPI: 1114849031
Provider Name (Legal Business Name): ANDREA KESSINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11883 PERRY HWY STE D
WEXFORD PA
15090-7353
US

IV. Provider business mailing address

153 ALDER DR
WEXFORD PA
15090-6340
US

V. Phone/Fax

Practice location:
  • Phone: 724-987-2993
  • Fax:
Mailing address:
  • Phone: 404-993-3694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: