Healthcare Provider Details

I. General information

NPI: 1376328757
Provider Name (Legal Business Name): ANGELA M ANGIOLIERI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 GATEWAY AVE STE 201
WEXFORD PA
15090-8471
US

IV. Provider business mailing address

109 GATEWAY AVE STE 201
WEXFORD PA
15090-8471
US

V. Phone/Fax

Practice location:
  • Phone: 724-330-3382
  • Fax:
Mailing address:
  • Phone: 412-330-3382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016017
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: