Provider Demographics
NPI:1033459656
Name:PIERCE, JESSICA DANIELS (LMHC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:DANIELS
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7310 FORESTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-2716
Mailing Address - Country:US
Mailing Address - Phone:407-557-4180
Mailing Address - Fax:
Practice Address - Street 1:7310 FORESTWOOD CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-2716
Practice Address - Country:US
Practice Address - Phone:407-557-4180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9728101YP2500X
FL17199101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional