=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952172967
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CINDY PIERCE COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2024
-----------------------------------------------------
Last Update Date | 01/10/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 575 BRAWLEY SCHOOL RD
-----------------------------------------------------
City | MOORESVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28117-9120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-619-6285
-----------------------------------------------------
Fax | 910-312-3090
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 173 FERNBROOK DR
-----------------------------------------------------
City | MOORESVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28117-4403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-619-6285
-----------------------------------------------------
Fax | 910-312-3090
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CYNTHIA PIERCE
-----------------------------------------------------
Credential | LCMHC
-----------------------------------------------------
Telephone | 910-619-6285
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------