Provider Demographics
NPI:1326875246
Name:LACOUNT, CIERA
Entity type:Individual
Prefix:
First Name:CIERA
Middle Name:
Last Name:LACOUNT
Suffix:
Gender:U
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2376 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3032
Mailing Address - Country:US
Mailing Address - Phone:585-430-9877
Mailing Address - Fax:
Practice Address - Street 1:1169 PITTSFORD VICTOR RD STE 250
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3809
Practice Address - Country:US
Practice Address - Phone:585-430-9877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist