Provider Demographics
NPI:1487351136
Name:PEARCE, SHELBY LEE (LPC-R)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:LEE
Last Name:PEARCE
Suffix:
Gender:F
Credentials:LPC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6513 W BANES CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-8250
Mailing Address - Country:US
Mailing Address - Phone:757-818-0199
Mailing Address - Fax:
Practice Address - Street 1:827 E PARHAM RD STE 4
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-1126
Practice Address - Country:US
Practice Address - Phone:804-262-9479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704015631101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional