Provider Demographics
NPI:1639125792
Name:PIRNER, LUCY LYNN (MS,LP,LPC)
Entity Type:Individual
Prefix:MS
First Name:LUCY
Middle Name:LYNN
Last Name:PIRNER
Suffix:
Gender:F
Credentials:MS,LP,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N7799 COUNTY ROAD W
Mailing Address - Street 2:
Mailing Address - City:RIVER FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54022
Mailing Address - Country:US
Mailing Address - Phone:715-220-1185
Mailing Address - Fax:
Practice Address - Street 1:401 STAGELINE RD
Practice Address - Street 2:HUDSON COUNSELING SERVICES STE. 7
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-7897
Practice Address - Country:US
Practice Address - Phone:715-531-6760
Practice Address - Fax:715-531-6761
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2729-125101YM0800X
MNLP3112103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI391906565OtherTAX ID