Brenda Pickett in Eagle - Mental Health

Brenda Pickett - NPI 1609917293

Brenda Pickett is a Mental Health in Eagle, Idaho. Brenda Pickett practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Brenda Pickett is 1609917293. The last update date is 2007-07-08.

Brenda Pickett's current location address is 2674 W Deerfield Ct, Eagle, Idaho. You can contact this provider via phone number 2087944097 and fax number 2089399110. The mailing address for Brenda Pickett is 2674 W Deerfield Ct, Eagle, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Brenda Pickett
Address 2674 W Deerfield Ct, Eagle, Idaho
Phone Number 2087944097
Fax Number 2089399110
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1609917293
Provider Enumeration Date 2007-02-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2674 W Deerfield Ct
City Eagle
State Idaho (ID)
Post Code 836162339
Phone Number 2087944097
Fax Number 2089399110

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No LCSW-826
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
826 ID LSCW

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FAQs about Brenda Pickett

What is the unique 10-digit identifier code assigned to Brenda Pickett by the Centers for Medicare & Medicaid Services?

The Brenda Pickett has been issued the NPI (National Provider Identifier) 1609917293 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Brenda Pickett's facilities are situated?

The facilities of Brenda Pickett are physically located at the following address: 2674 W Deerfield Ct, Eagle, ID, 836162339.

What is Brenda Pickett's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brenda Pickett is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.

On what date did the Brenda Pickett receive the assignment of its 1609917293 from the Centers for Medicare & Medicaid Services?

The Brenda Pickett was issued its 1609917293 by the Centers for Medicare & Medicaid Services on 2007-02-08.

As of what date were the Brenda Pickett's details last updated?

The information pertaining to the Brenda Pickett, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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