Bridgette Denise Mack in Lees Summit - Professional

Bridgette Denise Mack - NPI 1144423625

Bridgette Denise Mack is a Professional in Lees Summit, Missouri. Bridgette Denise Mack practices all healthcare services and medical treatments related to Professional. The NPI Number for Bridgette Denise Mack is 1144423625. The last update date is 2022-01-22.

Bridgette Denise Mack's current location address is 312 Sw Greenwich Dr Ste 733, Lees Summit, Missouri. You can contact this provider via phone number 9137120565 and fax number 8165378605. The mailing address for Bridgette Denise Mack is 312 Sw Greenwich Dr Ste 733, Lees Summit, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Bridgette Denise Mack
Address 312 Sw Greenwich Dr Ste 733, Lees Summit, Missouri
Phone Number 9137120565
Fax Number 8165378605
Sole Proprietor Y
Credentials LPC

NPI Number Detail

NPI Number 1144423625
Provider Enumeration Date 2007-06-11
Last Updated Date 2022-01-22

Provider Mailing Address Detail

Address 312 Sw Greenwich Dr Ste 733
City Lees Summit
State Missouri (MO)
Post Code 640824408
Phone Number 9137120565
Fax Number 8165378605

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 2001031951
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
499012508 MO --

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FAQs about Bridgette Denise Mack

What is the unique identification code assigned to Bridgette Denise Mack by the Centers for Medicare & Medicaid Services?

The Bridgette Denise Mack has been issued the NPI (National Provider Identifier) 1144423625. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Bridgette Denise Mack?

The Bridgette Denise Mack is physically situated at 312 Sw Greenwich Dr Ste 733, in the city of Lees Summit, state of MO, with the postal code 640824408.

What is the Bridgette Denise Mack's area of specialization and corresponding taxonomy classification?

The Bridgette Denise Mack's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1144423625 to Bridgette Denise Mack?

The Bridgette Denise Mack received its 1144423625 assignment from the Centers for Medicare & Medicaid Services on 2007-06-11.

As of what date was the information pertaining to Bridgette Denise Mack, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bridgette Denise Mack, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-01-22.

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