Provider Demographics
NPI:1013354596
Name:ROBERT FERAGOTTI, LPC, LLC
Entity Type:Organization
Organization Name:ROBERT FERAGOTTI, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:FERAGOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-544-3350
Mailing Address - Street 1:131 QUAIL DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4459
Mailing Address - Country:US
Mailing Address - Phone:724-544-3350
Mailing Address - Fax:
Practice Address - Street 1:162 BRICKYARD RD
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-3067
Practice Address - Country:US
Practice Address - Phone:724-544-3350
Practice Address - Fax:724-625-4257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005877261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health