Provider Demographics
NPI:1518558253
Name:WARFIELD, KIERSTEN ANNE (LPCA, LCMHCA)
Entity Type:Individual
Prefix:
First Name:KIERSTEN
Middle Name:ANNE
Last Name:WARFIELD
Suffix:
Gender:F
Credentials:LPCA, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 BURGIN ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-4125
Mailing Address - Country:US
Mailing Address - Phone:803-634-5316
Mailing Address - Fax:
Practice Address - Street 1:1565 EBENEZER RD STE 112
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2494
Practice Address - Country:US
Practice Address - Phone:803-526-7441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16136101YM0800X
SC7600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health