Bernadine Pickett, Pllc | |
455 S Livernois Rd Ste C-12 Rochester Hills MI 48307-2582 | |
(248) 752-4881 | |
Not Available |
Full Name | Bernadine Pickett, Pllc |
---|---|
Speciality | Counselor |
Location | 455 S Livernois Rd Ste C-12, Rochester Hills, Michigan |
Authorized Official Name and Position | Bernadine A Pickett (OWNER/COUNSELOR) |
Authorized Official Contact | 2487524881 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bernadine Pickett, Pllc 63401 Dequindre Road Washington MI 48095-2203 Ph: (248) 752-4881 | Bernadine Pickett, Pllc 455 S Livernois Rd Ste C-12 Rochester Hills MI 48307-2582 Ph: (248) 752-4881 |
NPI Number | 1457824328 |
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Provider Enumeration Date | 01/03/2019 |
Last Update Date | 12/18/2023 |
Certification Date | 12/11/2023 |
Medicare PECOS PAC ID | 1557714359 |
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Medicare Enrollment ID | O20240129001549 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457824328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Bernadine A. Pickett |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1366737470 PECOS PAC ID: 2466805262 Enrollment ID: I20240129001648 |
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