Provider Demographics
NPI:1063060333
Name:PIERRE-LOUIS, MONIQUE LOUISSIANTE (LPC)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:LOUISSIANTE
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 MASON ST
Mailing Address - Street 2:
Mailing Address - City:BREWTON
Mailing Address - State:AL
Mailing Address - Zip Code:36426-1536
Mailing Address - Country:US
Mailing Address - Phone:125-136-9146
Mailing Address - Fax:
Practice Address - Street 1:106 MASON ST
Practice Address - Street 2:
Practice Address - City:BREWTON
Practice Address - State:AL
Practice Address - Zip Code:36426-1536
Practice Address - Country:US
Practice Address - Phone:251-369-1466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC04547101YM0800X
FLTPMC1823101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health