PETTITT BEHAVIORAL HEALTH LLC NPI 1396104618

NPI Information

NPI: 1396104618
Provider Name: PETTITT BEHAVIORAL HEALTH, LLC
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
100 W NORFOLK AVE
NORFOLK, NE
ZIP 68701
Phone: (402) 379-0122
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PETTITT BEHAVIORAL HEALTH, LLC is a psychiatric/mental health clinical nurse specialist in Norfolk, NE. PETTITT BEHAVIORAL HEALTH, LLC NPI is 1396104618. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 W NORFOLK AVE
NORFOLK, NE
ZIP 68701-340
Phone: (402) 379-0122

The provider's authorized official is Rhonda Pettitt .
The authorized official title is Owner and has the following contact phone number (402) 649-5671.

The enumeration date for this NPI number is 2/15/2016 and was last updated on 2/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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