Provider Demographics
NPI:1942861059
Name:PIERCY, MARLI ANN (LMFT)
Entity Type:Individual
Prefix:
First Name:MARLI
Middle Name:ANN
Last Name:PIERCY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 E 64TH ST STE 222
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-1695
Mailing Address - Country:US
Mailing Address - Phone:317-659-8115
Mailing Address - Fax:
Practice Address - Street 1:819 E 64TH ST STE 222
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-1695
Practice Address - Country:US
Practice Address - Phone:317-659-8115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35002052A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist