DEBRA K ALDERTON PATTULLO (NPI# 1588961502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588961502 |
| Entity Type | Individual |
| Full Name | DEBRA K ALDERTON PATTULLO |
| Credential | LPC |
| Practice Address |
831 W. Miller Road Mcog Mio MI 48647 |
| Mailing Address |
203 N Red Oak Rd Lewiston MI 49756-7531 |
| Practice Telephone | 9897452531 |
| Mailing Telephone | 9897452531 |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2012-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6401007327 | MI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401007327 | MI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 6401007327 | MI | Behavioral Health & Social Service Providers |
| Street Address |
831 W. MILLER ROAD MCOG |
| City | MIO |
| State | MI |
| Zip Code | 48647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831480490 | Terrence Lee Krumbach | Pharmacist | 101 South Morenci, Rite Aid Discount Pharmacy #1715, Mio, MI 48647 | 2011-04-29 |
| 1982735999 | James Stephens Mangutz | Dentist | 107 E. Eighth St., Mio, MI 48647 | 2007-03-08 |
| 1053690438 | Mclaren Bay Region | Internal Medicine | 558 Lockwood Ln, Mio, MI 48647 | 2011-08-16 |
| 1467719252 | Michigan Physical Therapy, Inc. | Clinic/Center | 124 South Morenci Street, Mio, MI 48647-1032 | 2012-04-18 |
| 1063493989 | Pioneer Family Pharmacy Inc | Pharmacy | 114 South Morenci Ave, Mio, MI 48647-1060 | 2005-11-08 |
| 1700212479 | Family Fitness and Rehabilitation, LLC | Clinic/Center | 122 S Morenci Ave Ste A, Mio, MI 48647-2508 | 2013-09-25 |
| 1457644262 | Richard Daniel Graebner | Pharmacist | 101 S Morenci Ave, Mio, MI 48647-2508 | 2011-05-26 |
| 1164755187 | Angie A. Miller | Pharmacist | 114 S Morenci Ave, Mio, MI 48647-2508 | 2009-09-09 |
| 1043358393 | Michigan Institute of Rehabilitative Services, Inc | Clinic/Center | 122 S. Morenci Avenue, Mio, MI 48647-2508 | 2007-02-01 |
| 1104935659 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 101 South Morenci Street, Mio, MI 48647-2508 | 2006-08-29 |
| Find all providers in zip 48647 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073367 | Lisa Joanne Lindemann | Counselor | 764 Basswood Dr, Rochester Hills, MI 48309-1713 | 2020-11-08 |
| 1891396891 | Sonda Lasha Thomas | Counselor | 38 W Henry St, River Rouge, MI 48218-1359 | 2020-11-05 |
| 1700487931 | Cjt Solutions | Counselor | 351 Coventry Ln, Mason, MI 48854-1162 | 2020-11-04 |
| 1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
| 1265032148 | Ashley Capaldi | Counselor | 8500 Oak Park Blvd, Oak Park, MI 48237-1848 | 2020-10-29 |
| 1538769542 | Sherie Justine Posie | Counselor | 16000 W 9 Mile Rd Ste 115, Southfield, MI 48075-4800 | 2020-10-28 |
| 1477152445 | True North Holistic Health and Wellness, LLC | Counselor | 5472 Belsay Rd, Grand Blanc, MI 48439-9129 | 2020-10-21 |
| 1881293819 | Breakthrough L.L.C. | Counselor | 38847 Parkview Dr, Clinton Twp, MI 48036-3826 | 2020-10-21 |
| 1790384998 | Amanda Nicole Lambert | Counselor | 1919 Gratiot Ave, Saginaw, MI 48602-2763 | 2020-10-20 |
| 1285233437 | Emmitt Melvin Davis Jr. | Counselor | 316 Morris Ave Ste 200, Muskegon, MI 49440-1154 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| 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.