=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255913562
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARTHA ALEJANDRA GUERRA LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/26/2021
-----------------------------------------------------
Last Update Date | 05/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 GAMMA DR STE 501
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15238-2926
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-374-3468
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 110 HIDDEN VALLEY RD # A
-----------------------------------------------------
City | MC MURRAY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15317-2685
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-374-3468
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | PC018651
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------