Provider Demographics
NPI:1063096444
Name:PIERRE-LOUIS, SHIRLEY (CBHCM)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 BISCAYNE BLVD # 1018
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-5013
Mailing Address - Country:US
Mailing Address - Phone:305-801-2568
Mailing Address - Fax:
Practice Address - Street 1:2121 BISCAYNE BLVD # 1018
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-5013
Practice Address - Country:US
Practice Address - Phone:786-318-1473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBHCM103657171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator