| Doctor Name: | JEFFREY PIERCY |
| NPI Number: | 1255760112 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., LMHC |
| License Number: | MH12106 |
| Business Practice Address: | 1637 Race Track Rd Suite 236 Saint Johns, FL - 322593239 |
| Business Phone Number: | 9047163828 |
| Business Fax Number: | |
| Mailing Address: | 1637 Race Track Rd, Suite 236 SAINT JOHNS |
| State: | FL |
| Postal Code: | 322593239 |
| Phone Number: | 9047163828 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2013 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH12106 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |