Provider Demographics
NPI:1902437692
Name:PIERRE, PASCALE (LMFT)
Entity Type:Individual
Prefix:
First Name:PASCALE
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 NE 30TH ST
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6834
Mailing Address - Country:US
Mailing Address - Phone:954-818-5603
Mailing Address - Fax:
Practice Address - Street 1:14000 S MILITARY TRL STE 204A
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-2654
Practice Address - Country:US
Practice Address - Phone:561-819-0620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-31
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3007106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist