Healthcare Provider Details

I. General information

NPI: 1619997376
Provider Name (Legal Business Name): DONNA PIERCE-JUDKINS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DONNA PIERCE

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 CHERRY ST
UXBRIDGE MA
01569-1960
US

IV. Provider business mailing address

25 CHERRY ST
UXBRIDGE MA
01569-1960
US

V. Phone/Fax

Practice location:
  • Phone: 978-835-8676
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1204
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: