Provider Demographics
NPI:1518466093
Name:O'CONNOR, KATIE LEA (LPC, ATR-BC, CCLS)
Entity Type:Individual
Prefix:MS
First Name:KATIE
Middle Name:LEA
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:LPC, ATR-BC, CCLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 STANWIX ST APT 801
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-1315
Mailing Address - Country:US
Mailing Address - Phone:814-289-6061
Mailing Address - Fax:
Practice Address - Street 1:4068 MOUNT ROYAL BLVD
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-2977
Practice Address - Country:US
Practice Address - Phone:412-695-3338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-09
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009612101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty