Provider Demographics
NPI:1174897946
Name:PEARCE, TZADDI LEE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:TZADDI
Middle Name:LEE
Last Name:PEARCE
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 1:66-216 FARRINGTON HWY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WAIALUA
Mailing Address - State:HI
Mailing Address - Zip Code:96791
Mailing Address - Country:US
Mailing Address - Phone:808-782-4417
Mailing Address - Fax:
Practice Address - Street 1:66-902 ALENA LOOP
Practice Address - Street 2:
Practice Address - City:WAIALUA
Practice Address - State:HI
Practice Address - Zip Code:96791-9726
Practice Address - Country:US
Practice Address - Phone:808-782-4417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI297106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist