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 |
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Address | 2674 W Deerfield Ct, Eagle, Idaho |
Phone Number | 2087944097 |
Fax Number | 2089399110 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1609917293 |
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Provider Enumeration Date | 2007-02-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2674 W Deerfield Ct |
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City | Eagle |
State | Idaho (ID) |
Post Code | 836162339 |
Phone Number | 2087944097 |
Fax Number | 2089399110 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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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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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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