Provider Demographics
NPI:1588601868
Name:PIERCY, NANCY SUE (MS,LPC)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:SUE
Last Name:PIERCY
Suffix:
Gender:F
Credentials:MS,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1922 FORSEE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64505-2231
Mailing Address - Country:US
Mailing Address - Phone:816-233-9718
Mailing Address - Fax:
Practice Address - Street 1:1338 N BELT HWY
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3081
Practice Address - Country:US
Practice Address - Phone:816-671-0032
Practice Address - Fax:816-901-3050
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002269101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO27096032OtherBLUE CROSS BLUE SHIELD