Provider Demographics
NPI:1801600689
Name:PIERCE, SYDNEY ROSE (MA, LPCC)
Entity type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:ROSE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:ROSE
Other - Last Name:DONDLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19980 LANGFORD LN
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-8432
Mailing Address - Country:US
Mailing Address - Phone:651-895-7812
Mailing Address - Fax:
Practice Address - Street 1:6600 FRANCE AVE S STE 460
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-1811
Practice Address - Country:US
Practice Address - Phone:651-505-5653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4809101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional