MEDICARE: KATHLEEN FAYE MORELAND LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	PC003122	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PC003122	OTHER	PA	LICENSE

General Provider Information

NPI Number	:	1578070553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN FAYE MORELAND LPC

Provider Business Mailing Address
First Line	:	665 PHILADELPHIA ST
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-3941
Country	:	US
Telephone Number	:	412-600-0863
Fax Number	:	724-801-8751

Provider Business Practice Location Address
First Line	:	665 PHILADELPHIA ST
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-3941
Country	:	US
Telephone Number	:	412-600-0863
Fax Number	:	724-801-8751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2017
Last Update Date	:	09/09/2024

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