Provider Demographics
NPI:1386247021
Name:BIERLEY, BRIAN (MS, LPC, CRC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:BIERLEY
Suffix:
Gender:M
Credentials:MS, LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 S THRUSH DR
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-7652
Mailing Address - Country:US
Mailing Address - Phone:717-422-3173
Mailing Address - Fax:717-819-9962
Practice Address - Street 1:15 S THRUSH DR
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-7652
Practice Address - Country:US
Practice Address - Phone:717-422-3173
Practice Address - Fax:717-819-9962
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000486101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty