Provider Demographics
NPI:1952064214
Name:PIERCE, SAVANNAH L (MS, LPC)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:L
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4505 COLUMBUS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6781
Mailing Address - Country:US
Mailing Address - Phone:757-222-4944
Mailing Address - Fax:757-544-9880
Practice Address - Street 1:4505 COLUMBUS ST STE 200
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6781
Practice Address - Country:US
Practice Address - Phone:757-222-4944
Practice Address - Fax:757-544-9880
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-14
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012603101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health