Bergkoetter, Lisa Diane

Bergkoetter, Lisa Diane is an individual health care provider with primary practice located at 10635 Dunham Rd , Hartland MI 48353-1017. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bergkoetter, Lisa Diane can be contacted via phone (248) 310-4236.

Contact Information

Primary practice address
10635 Dunham Rd Hartland MI 48353-1017
Phone: (248) 310-4236
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6851114769 Michigan
Behavioral Health & Social Service Providers / School 1041S0200X 6851114769 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6851114769 Michigan

Profile Details

NPI number 1407545676
LBN Legal business name Bergkoetter, Lisa Diane
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2023
Last updated May 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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