Provider Demographics
NPI:1467504654
Name:PEARL, CHRISTIE LYNNE (LMHC)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:LYNNE
Last Name:PEARL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:LYNNE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:634 MADISON PL
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-4294
Mailing Address - Country:US
Mailing Address - Phone:617-733-7817
Mailing Address - Fax:
Practice Address - Street 1:51 UNION ST
Practice Address - Street 2:SUITE 222 - ENLIGHTENED INTERVENTIONS
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1194
Practice Address - Country:US
Practice Address - Phone:508-317-2323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health