Provider Demographics
NPI:1952639494
Name:KING, ELOISE M (MS, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ELOISE
Middle Name:M
Last Name:KING
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:MRS
Other - First Name:ELOISE
Other - Middle Name:COON
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, NCC, LPC
Mailing Address - Street 1:109 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:EAST PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15112-1007
Mailing Address - Country:US
Mailing Address - Phone:412-377-6700
Mailing Address - Fax:
Practice Address - Street 1:211 NORTH WHITFIELD ST., SUITE 470
Practice Address - Street 2:MEDICAL CENTER EAST,
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-2573
Practice Address - Country:US
Practice Address - Phone:412-377-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005214101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional