Healthcare Provider Details

I. General information

NPI: 1891416996
Provider Name (Legal Business Name): PIERCE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 W CAUSEWAY APPROACH STE E
MANDEVILLE LA
70471-3022
US

IV. Provider business mailing address

PO BOX 2054
MANDEVILLE LA
70470-2054
US

V. Phone/Fax

Practice location:
  • Phone: 985-276-0915
  • Fax:
Mailing address:
  • Phone: 985-276-0915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. CRAIG A PIERCE JR.
Title or Position: OWNER/CLINICIAN
Credential: LCSW
Phone: 985-276-0915