Provider Demographics
NPI:1316450760
Name:BORRELLI-SOWERS, LORA (MS, LPC)
Entity type:Individual
Prefix:
First Name:LORA
Middle Name:
Last Name:BORRELLI-SOWERS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 STOOPS DR STE 220
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-3554
Mailing Address - Country:US
Mailing Address - Phone:724-565-3096
Mailing Address - Fax:
Practice Address - Street 1:100 STOOPS DR STE 220
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-3554
Practice Address - Country:US
Practice Address - Phone:724-565-3096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-08
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009954101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC009954OtherLPC