Provider Demographics
NPI:1922546803
Name:SEYBERT, MISTY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MISTY
Middle Name:
Last Name:SEYBERT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:MISTY
Other - Middle Name:
Other - Last Name:MANCINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:25 TIMBER TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-9733
Mailing Address - Country:US
Mailing Address - Phone:863-660-7749
Mailing Address - Fax:
Practice Address - Street 1:1215 N GREENGATE RD
Practice Address - Street 2:SUITE D
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-4081
Practice Address - Country:US
Practice Address - Phone:724-832-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13238101YM0800X
PAPC009113101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health