BERNADINE PICKETT, PLLC


Address: 63401 Dequindre Road, Washington, MI 48095-2203
Phone: 2487524881

BERNADINE PICKETT, PLLC (NPI# 1457824328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457824328
Entity Type Organization
Organization Name BERNADINE PICKETT, PLLC
Practice Address 63401 Dequindre Road
Washington
MI 48095-2203
Practice Telephone 2487524881
Practice Fax Number 9999999999
Mailing Telephone 2487524881
Mailing Fax Number 9999999999
Enumeration Date 2019-01-03
Last Update Date 2019-01-03
Authorized Official Name MRS. BERNADINE A. PICKETT (LICENSED PROFESSIONAL COUNSELOR)
Authorized Official Telephone 2487524881
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 63401 DEQUINDRE ROAD
City WASHINGTON
State MI
Zip Code 48095-2203

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 48095

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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