Provider Demographics
NPI:1992052542
Name:PIERCE, KENDRIA (LPC)
Entity type:Individual
Prefix:MRS
First Name:KENDRIA
Middle Name:
Last Name: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 1:7293 HANOVER GREEN DRIVE STE B104
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-1772
Mailing Address - Country:US
Mailing Address - Phone:804-244-5698
Mailing Address - Fax:804-554-0628
Practice Address - Street 1:7293 HANOVER GREEN DR STE B104
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-1772
Practice Address - Country:US
Practice Address - Phone:804-244-5698
Practice Address - Fax:804-554-0628
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005303101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health