=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750200515
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ABIGAIL ROSENBAUM MA, LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/14/2026
-----------------------------------------------------
Last Update Date | 07/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 RENAISSANCE DR STE 301
-----------------------------------------------------
City | BUTLER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16001-7612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-287-1880
-----------------------------------------------------
Fax | 724-282-1848
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 223 HOME AVE
-----------------------------------------------------
City | BUTLER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16001-2777
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-496-4488
-----------------------------------------------------
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 | PC020665
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------