Provider Demographics
NPI:1215562202
Name:PIERCE, RACHEL A (LCPC-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:FORTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37 PARK ST STE 302
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7195
Mailing Address - Country:US
Mailing Address - Phone:207-333-1080
Mailing Address - Fax:
Practice Address - Street 1:9 CR LN
Practice Address - Street 2:
Practice Address - City:WEST GARDINER
Practice Address - State:ME
Practice Address - Zip Code:04345-3330
Practice Address - Country:US
Practice Address - Phone:207-380-1228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELSX17725104100000X
MEXL6739101YP2500X
MECAC7035101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional