Provider Demographics
NPI:1972805927
Name:PIERRE, LAUREN (NCC, LPC)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17101 KENSINGTON PT
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-3266
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3547 HABERSHAM AT NORTHLAKE
Practice Address - Street 2:BLDG. F
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4001
Practice Address - Country:US
Practice Address - Phone:678-406-9707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-24
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006579101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional