Healthcare Provider Details

I. General information

NPI: 1750870093
Provider Name (Legal Business Name): PEARCE AND PARTNERS THERAPY SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2018
Last Update Date: 02/15/2021
Certification Date: 02/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 PEACE HAVEN RD
KANNAPOLIS NC
28083-6957
US

IV. Provider business mailing address

502 PEACE HAVEN RD
KANNAPOLIS NC
28083-6957
US

V. Phone/Fax

Practice location:
  • Phone: 980-202-3069
  • Fax:
Mailing address:
  • Phone: 980-202-3069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KELLY PEARCE
Title or Position: SENIOR PARTNER
Credential: LPC, MA
Phone: 980-202-3069