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NPI Code Detail

MEDICARE: LARRY RAYMOND PIERSON LPC, LMHC

MEDICARE: LARRY RAYMOND PIERSON LPC, LMHC
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
1101YM0800XMental Health CounselorMH22768FL
2101YP2500XProfessional Counselor9369SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528679818
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARRY RAYMOND PIERSON LPC, LMHC
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number : 770-389-8100
Fax Number : 678-782-6622
Provider Business Practice Location Address
First Line : 9995 GATE PKWY N STE 100
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-0800
Country : US
Telephone Number : 833-769-3524
Fax Number : 706-410-1490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2020
Last Update Date : 05/19/2026

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