Provider Demographics
NPI:1942181664
Name:PIERCE, CALLIE MITCHELL (LAC)
Entity type:Individual
Prefix:
First Name:CALLIE
Middle Name:MITCHELL
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 25TH STREET PL SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-9848
Mailing Address - Country:US
Mailing Address - Phone:828-234-6510
Mailing Address - Fax:
Practice Address - Street 1:1270 25TH STREET PL SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-9848
Practice Address - Country:US
Practice Address - Phone:828-234-6510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAC-2288171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist