Provider Demographics
NPI:1134752900
Name:PIERCE HEALTH CONSULTANTS, LLC
Entity type:Organization
Organization Name:PIERCE HEALTH CONSULTANTS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JORDYN
Authorized Official - Middle Name:ANN SIMS
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-823-8902
Mailing Address - Street 1:150 PITTSFIELD RD STE I
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MA
Mailing Address - Zip Code:01240-2471
Mailing Address - Country:US
Mailing Address - Phone:413-200-8116
Mailing Address - Fax:413-341-8975
Practice Address - Street 1:150 PITTSFIELD RD STE I
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2471
Practice Address - Country:US
Practice Address - Phone:413-200-8166
Practice Address - Fax:413-341-8975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty