Healthcare Provider Details

I. General information

NPI: 1467324731
Provider Name (Legal Business Name): PIERCE COUNSELING AND CONSULTING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 LAKE ST # 254
OAK PARK IL
60301-1286
US

IV. Provider business mailing address

901 LAKE ST # 254
OAK PARK IL
60301-1286
US

V. Phone/Fax

Practice location:
  • Phone: 312-324-4855
  • Fax: 312-277-6461
Mailing address:
  • Phone: 312-324-4855
  • Fax: 312-277-6461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MONICA F BOYD-LAYNE
Title or Position: OWNER
Credential: PHD, LCPC
Phone: 312-324-4855