MEDICARE: CHERYL ANN PIERCE 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1578721411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL ANN PIERCE LPC

Provider Business Mailing Address
First Line	:	745 CRAIG RD STE 210B
Second Line	:
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-7122
Country	:	US
Telephone Number	:	314-370-8308
Fax Number	:

Provider Business Practice Location Address
First Line	:	745 CRAIG RD STE 210B
Second Line	:
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-7122
Country	:	US
Telephone Number	:	314-370-8308
Fax Number	:

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

Provider Enumeration Date	:	05/28/2008
Last Update Date	:	12/16/2020

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Directions to “ CHERYL ANN PIERCE LPC” Practice Location

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