Provider Demographics
NPI:1518350156
Name:BIES, CIERA CORINE (MA, TLLP)
Entity type:Individual
Prefix:
First Name:CIERA
Middle Name:CORINE
Last Name:BIES
Suffix:
Gender:F
Credentials:MA, TLLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26811 ORCHARD LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-4512
Mailing Address - Country:US
Mailing Address - Phone:248-476-1122
Mailing Address - Fax:
Practice Address - Street 1:26811 ORCHARD LAKE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-4512
Practice Address - Country:US
Practice Address - Phone:248-476-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2016-12-05
Deactivation Date:2016-05-18
Deactivation Code:
Reactivation Date:2016-12-05
Provider Licenses
StateLicense IDTaxonomies
MI6301016095103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical