MEDICARE: MARSHA A PIERRE

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	101YM0800X	Mental Health Counselor	16854	FL

General Provider Information

NPI Number	:	1477141844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHA A PIERRE

Provider Business Mailing Address
First Line	:	5273 SW 40TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33314-6501
Country	:	US
Telephone Number	:	718-576-9197
Fax Number	:

Provider Business Practice Location Address
First Line	:	5273 SW 40TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33314-6501
Country	:	US
Telephone Number	:	954-998-4304
Fax Number	:

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

Provider Enumeration Date	:	01/01/2021
Last Update Date	:	01/01/2021

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Directions to “ MARSHA A PIERRE ” Practice Location

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