Mary Joyce Urvina
Individual provider Active NPI Counselor · Monessen, PA
NPI 1922820950 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1922820950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- SW122460 (PA)
- Practice address
- 2 Eastgate Ave
Monessen, PA 15062-1393 - Phone
- (724) 684-6489
- NPI assigned
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW122460 | PA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | SW122460 | PA | |
| Counselor |
101Y00000X | SW122460 | PA | Yes |
Addresses
Primary practice location
2 Eastgate Ave
Monessen, PA 15062-1393
Mailing address
2 Eastgate Ave
Monessen, PA 15062-1393
Phone (724) 684-6489
Other providers in Monessen, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.