Mack, Bridgette Denise
Mack, Bridgette Denise is an sole proprietor health care provider with primary practice located at 312 Sw Greenwich Dr Ste 733 , Lees Summit MO 64082-4408. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mack, Bridgette Denise can be contacted via phone (913) 712-0565.Contact Information
Primary practice address
312 Sw Greenwich Dr Ste 733
Lees Summit MO 64082-4408
Phone: (913) 712-0565
Fax: (816) 537-8605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2001031951 | Missouri |
Profile Details
| NPI number | 1144423625 |
|---|---|
| LBN Legal business name | Mack, Bridgette Denise |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Jan 22nd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144423625 | NPPES |
| Missouri | MEDICAID | 499012508 |
Popular Providers
-
Zoellers, Jason F
1272 Ne Windsor Dr , Lees Summit MO 64086 -
Mason, Stacey
200 Ne Missouri Rd Suite 302, Lees Summit MO 64086-4720 -
Ragon, Robert Travis
4031 Ne Lakewood Way Suite 100, Lees Summit MO 64064-2060 -
Cobb, Christopher
600 Nw Murray Rd Ste 300 , Lees Summit MO 64081-1245 -
Meyer, Lorinda Marie
901 Ne Independence Ave , Lees Summit MO 64086-5544 -
Swift, Sylvia June
1272 Ne Windsor Dr , Lees Summit MO 64086-5594 -
Veraguth, Patrice Wanetta
200 Ne Missouri Rd Ste 307 , Lees Summit MO 64086-4722 -
Strid, Elaine Rudd
1272 Ne Windsor Dr , Lees Summit MO 64086