Provider Demographics
NPI:1497243539
Name:O'BRIEN, ELENI (MA,LPC, NCC)
Entity Type:Individual
Prefix:
First Name:ELENI
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MA,LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-2801
Mailing Address - Country:US
Mailing Address - Phone:412-726-8180
Mailing Address - Fax:
Practice Address - Street 1:2957 RIDGE RD
Practice Address - Street 2:
Practice Address - City:SOUTH PARK
Practice Address - State:PA
Practice Address - Zip Code:15129-8824
Practice Address - Country:US
Practice Address - Phone:412-913-6109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional