Provider Demographics
NPI:1073980173
Name:PEARSON, MARTHA ANN (LPCC)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:ANN
Last Name:PEARSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:M.
Other - Middle Name:ANN
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC
Mailing Address - Street 1:112 OFFICE PARK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-1380
Mailing Address - Country:US
Mailing Address - Phone:270-864-1625
Mailing Address - Fax:
Practice Address - Street 1:112 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-1380
Practice Address - Country:US
Practice Address - Phone:270-864-1625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY291247101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health