Healthcare Provider Details

I. General information

NPI: 1023856796
Provider Name (Legal Business Name): KELSEY HEINRICH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 BROOKTREE RD STE 301
WEXFORD PA
15090-9272
US

IV. Provider business mailing address

244 CENTER RD STE 301
MONROEVILLE PA
15146-1789
US

V. Phone/Fax

Practice location:
  • Phone: 412-256-8256
  • Fax: 888-971-4394
Mailing address:
  • Phone: 412-256-8256
  • Fax: 888-971-4394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016518
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: