Provider Demographics
NPI:1225375967
Name:PIERCE, NAKEISHA LYNELL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:NAKEISHA
Middle Name:LYNELL
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1314 DULLES DR
Mailing Address - Street 2:CONDO J
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-3876
Mailing Address - Country:US
Mailing Address - Phone:337-313-0269
Mailing Address - Fax:337-313-0269
Practice Address - Street 1:1314 DULLES DR
Practice Address - Street 2:CONDO J
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3876
Practice Address - Country:US
Practice Address - Phone:337-313-0269
Practice Address - Fax:337-313-0269
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3946101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional