Provider Demographics
NPI:1942450028
Name:PIERCE, GLORIA E (LMHC, LLC)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:E
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LMHC, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:563 MAIN ST.
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BOLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01740
Mailing Address - Country:US
Mailing Address - Phone:978-779-0211
Mailing Address - Fax:978-779-0211
Practice Address - Street 1:563 MAIN ST.
Practice Address - Street 2:SUITE 8
Practice Address - City:BOLTON
Practice Address - State:MA
Practice Address - Zip Code:01740
Practice Address - Country:US
Practice Address - Phone:978-844-8766
Practice Address - Fax:978-779-0211
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA6488101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health