Provider Demographics
NPI:1700407863
Name:PIERCE, CURTIS SCOTT (LLPC)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:SCOTT
Last Name:PIERCE
Suffix:
Gender:M
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3054 S 9TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-6250
Mailing Address - Country:US
Mailing Address - Phone:269-743-6139
Mailing Address - Fax:269-290-7512
Practice Address - Street 1:3054 S 9TH ST STE B
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-6250
Practice Address - Country:US
Practice Address - Phone:269-743-6139
Practice Address - Fax:269-290-7512
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401018290101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional