MR. MIKE PALK L.P.C. NPI 1083784516

NPI Information

NPI: 1083784516
Provider Name: MR. MIKE PALK, L.P.C.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
377 SHORT ST
SUITE D
COOKEVILLE, TN
ZIP 38501
Phone: (931) 528-6167
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MR. Mike Palk, L.P.C. is a professional counselor in Cookeville, TN. MR. Mike Palk, L.P.C. NPI is 1083784516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

377 SHORT ST
SUITE D
COOKEVILLE, TN
ZIP 38501-119
Phone: (931) 528-6167
Fax: (931) 526-9300

The enumeration date for this NPI number is 11/9/2006 and was last updated on 7/8/2007.

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	101YP2500X	Counselor	Professional	0000001444	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3148479	OTHER	TENNESSEE	TN BLUE CROSS BLUE SHIELD

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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