Provider Demographics
NPI:1144110032
Name:VIROSTEK, MICHELENE
Entity type:Individual
Prefix:
First Name:MICHELENE
Middle Name:
Last Name:VIROSTEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4655 WILLIAM FLYNN HWY STE 124F
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-2248
Mailing Address - Country:US
Mailing Address - Phone:412-492-8585
Mailing Address - Fax:412-492-7882
Practice Address - Street 1:4655 WILLIAM FLYNN HWY STE 124F
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-2248
Practice Address - Country:US
Practice Address - Phone:412-492-8585
Practice Address - Fax:412-492-7882
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional