Provider Demographics
NPI:1578367843
Name:PIERCE, ALICE (LMSW)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:PIERCE
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9666 OLIVE BLVD STE 510
Mailing Address - Street 2:
Mailing Address - City:OLIVETTE
Mailing Address - State:MO
Mailing Address - Zip Code:63132-3026
Mailing Address - Country:US
Mailing Address - Phone:314-626-3192
Mailing Address - Fax:
Practice Address - Street 1:9666 OLIVE BLVD STE 510
Practice Address - Street 2:
Practice Address - City:OLIVETTE
Practice Address - State:MO
Practice Address - Zip Code:63132-3026
Practice Address - Country:US
Practice Address - Phone:314-626-3192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023046617101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health