Provider Demographics
NPI:1881652071
Name:MANNELLA, SHARON L (LPC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:MANNELLA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 MCELROY DR
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1624
Mailing Address - Country:US
Mailing Address - Phone:412-607-6234
Mailing Address - Fax:412-268-4084
Practice Address - Street 1:2008 MURRAY AVE STE A2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2169
Practice Address - Country:US
Practice Address - Phone:412-607-6234
Practice Address - Fax:412-268-4084
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002389101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional