Percival George Ricketts in Pembroke Pines - Mental Health
Percival George Ricketts - NPI 1053397471
Percival George Ricketts is a Mental Health in Pembroke Pines, Florida. Percival George Ricketts practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Percival George Ricketts is 1053397471. The last update date is 2007-07-08.
Percival George Ricketts's current location address is 10031 Pines Blvd, Pembroke Pines, Florida. You can contact this provider via phone number 9544385661. The mailing address for Percival George Ricketts is 10031 Pines Blvd, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Percival George Ricketts |
|---|---|
| Address | 10031 Pines Blvd, Pembroke Pines, Florida |
| Phone Number | 9544385661 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | ED.D, LMHC |
NPI Number Detail
| NPI Number | 1053397471 |
|---|---|
| Provider Enumeration Date | 2005-12-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10031 Pines Blvd |
|---|---|
| City | Pembroke Pines |
| State | Florida (FL) |
| Post Code | 330246179 |
| Phone Number | 9544385661 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH6153 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MH6153 | FL | STATE LICENCE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Percival George Ricketts by the Centers for Medicare & Medicaid Services?
The Percival George Ricketts has been assigned the NPI (National Provider Identifier) 1053397471 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Percival George Ricketts is geographically located?
The Percival George Ricketts is physically situated at the following location: 10031 Pines Blvd, Pembroke Pines, FL, 330246179.
What is Percival George Ricketts's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Percival George Ricketts's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053397471 to Percival George Ricketts?
The Percival George Ricketts received its 1053397471 assignment from the Centers for Medicare & Medicaid Services on 2005-12-17.
As of what date were the details related to Percival George Ricketts most recently updated or revised?
The information pertaining to Percival George Ricketts, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.