Healthcare Provider Details

I. General information

NPI: 1386138592
Provider Name (Legal Business Name): ALICE HANKES PIERCE LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 N 1ST ST
GENEVA IL
60134-2387
US

IV. Provider business mailing address

328 JOHN ST
NORTH AURORA IL
60542-1552
US

V. Phone/Fax

Practice location:
  • Phone: 630-428-7890
  • Fax:
Mailing address:
  • Phone: 630-967-8803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180017502
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: