Provider Demographics
NPI:1578832051
Name:PIERRE, LUDE (LPC)
Entity Type:Individual
Prefix:
First Name:LUDE
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 922
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22216-0922
Mailing Address - Country:US
Mailing Address - Phone:617-669-3531
Mailing Address - Fax:
Practice Address - Street 1:1655 FORT MYER DR STE 700
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-3199
Practice Address - Country:US
Practice Address - Phone:617-669-3531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-29
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012637101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional