Provider Demographics
NPI:1659321651
Name:BIERMAN, LORRIE A (NCC, LCPC)
Entity Type:Individual
Prefix:MS
First Name:LORRIE
Middle Name:A
Last Name:BIERMAN
Suffix:
Gender:F
Credentials:NCC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 RUDY AVE
Mailing Address - Street 2:
Mailing Address - City:MATTOON
Mailing Address - State:IL
Mailing Address - Zip Code:61938-5932
Mailing Address - Country:US
Mailing Address - Phone:217-235-6203
Mailing Address - Fax:217-235-6574
Practice Address - Street 1:1518 RUDY AVE
Practice Address - Street 2:
Practice Address - City:MATTOON
Practice Address - State:IL
Practice Address - Zip Code:61938-5932
Practice Address - Country:US
Practice Address - Phone:217-235-6203
Practice Address - Fax:217-235-6574
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-003082101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional