MEDICARE: MRS. SHEENA PEARCE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	PC018535	PA

General Provider Information

NPI Number	:	1205701570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHEENA PEARCE LPC

Provider Business Mailing Address
First Line	:	4601 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-4636
Country	:	US
Telephone Number	:	215-590-7555
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-4636
Country	:	US
Telephone Number	:	215-590-0822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	01/15/2026

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