Provider Demographics
NPI:1780821447
Name:PIERCE, KRISTEN (LMFT-S)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9613 MOORBERRY ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-2730
Mailing Address - Country:US
Mailing Address - Phone:203-512-1539
Mailing Address - Fax:
Practice Address - Street 1:5315 ED BLUESTEIN BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-5609
Practice Address - Country:US
Practice Address - Phone:203-512-1539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-16
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202098106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist