Provider Demographics
NPI:1083238992
Name:WARGO, BONNIE LEVY (MFT)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:LEVY
Last Name:WARGO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 COCHRAN RD # 227
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1253
Mailing Address - Country:US
Mailing Address - Phone:213-973-9878
Mailing Address - Fax:
Practice Address - Street 1:461 COCHRAN RD # 227
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1253
Practice Address - Country:US
Practice Address - Phone:213-973-9878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA001392101YM0800X
CA116581101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health