Provider Demographics
NPI:1306110564
Name:LEONARD-PIERCE, CASSIE ANN (LPC)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:ANN
Last Name:LEONARD-PIERCE
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 1:7177 FM 13 E
Mailing Address - Street 2:
Mailing Address - City:TROUP
Mailing Address - State:TX
Mailing Address - Zip Code:75789-8072
Mailing Address - Country:US
Mailing Address - Phone:903-722-3406
Mailing Address - Fax:903-655-6981
Practice Address - Street 1:500 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75652-3021
Practice Address - Country:US
Practice Address - Phone:903-657-0790
Practice Address - Fax:903-655-6981
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65801101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional