Provider Demographics
NPI:1144592593
Name:VIEIRA, MICHELLE PIRES
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:PIRES
Last Name:VIEIRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 GROOM ST APT 1
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-2232
Mailing Address - Country:US
Mailing Address - Phone:617-291-5849
Mailing Address - Fax:
Practice Address - Street 1:9 GROOM ST APT 1
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-2232
Practice Address - Country:US
Practice Address - Phone:617-291-5849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor