| Lukehart & Pierson Counseling, Llc | |
|
4418 Doud Dr Gillette WY 82718-4043 | |
| (605) 381-0068 | |
| Not Available |
| Full Name | Lukehart & Pierson Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4418 Doud Dr, Gillette, Wyoming |
| Authorized Official Name and Position | Elizabeth Pierson (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6053810068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lukehart & Pierson Counseling, Llc Po Box 1571 Gillette WY 82717-1571 Ph: () - | Lukehart & Pierson Counseling, Llc 4418 Doud Dr Gillette WY 82718-4043 Ph: (605) 381-0068 |
| NPI Number | 1801291083 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/26/2022 |
| Medicare PECOS PAC ID | 3870817448 |
|---|---|
| Medicare Enrollment ID | O20150130001765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801291083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW 569 (Wyoming) | Primary |
| Provider Name | Elizabeth Ann Pierson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114080660 PECOS PAC ID: 6901087014 Enrollment ID: I20110223000224 |
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