Provider Demographics
NPI:1417407792
Name:DAVIS-PIERRE, MARIA (LMHC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:DAVIS-PIERRE
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 1:4785 FOXTAIL PALM CT
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6841
Mailing Address - Country:US
Mailing Address - Phone:954-330-7148
Mailing Address - Fax:
Practice Address - Street 1:2800 S SEACREST BLVD
Practice Address - Street 2:STE. 140
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7960
Practice Address - Country:US
Practice Address - Phone:561-430-8484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12980101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health