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Bedford Behavioral Health

Organization Active NPI Professional Counselor · Lambertville, MI

NPI 1528337706 · NPPES record last updated Feb 27, 2023

Key facts

NPI
1528337706
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
License
6401009357 (MI)
Legal business name
BEDFORD BEHAVIORAL HEALTH
Practice address
8336 Monroe Rd.
RM 120
Lambertville, MI 48144-9339
Phone
(734) 807-0162
Fax
(888) 700-7159
NPI assigned
Dec 18, 2011
Organization subpart
No

Authorized official

Name
Mrs. Pamela Mae Bush, LPC NPI 1801170378
Title
Owner
Phone
(734) 807-0162

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

8336 Monroe Rd
Rm 120
Lambertville, MI 48144
Phone (734) 506-0653

8336 Monroe Rd
Rm 154
Lambertville, MI 48144
Phone (419) 450-2487

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP		 101YP2500X 6401009357 MI Yes

Addresses

Primary practice location

8336 Monroe Rd.
RM 120
Lambertville, MI 48144-9339

Mailing address

8336 Monroe Rd.
RM 120
Lambertville, MI 48144-9339
Phone (734) 807-0162

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 27, 2023.

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1528337706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8336 MONROE RD.",
            "address_2": "RM 120",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449339",
            "telephone_number": "734-807-0162",
            "fax_number": "888-700-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8336 MONROE RD.",
            "address_2": "RM 120",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449339",
            "telephone_number": "734-807-0162",
            "fax_number": "888-700-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-18",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-807-0162",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lambertville, MI

All providers in Lambertville, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.