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Bridgett M Giles Mcknight

Counselor

Behavioral Health & Social Service Providers

4830 Sugar Grove Boulevard, Suite 605, Stafford, TX 77477

PECOS Enrollment

Based on the most recent information from CMS, provider Bridgett M Giles Mcknight does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1447412424
Provider Type
Individual
Full Name
Giles Mcknight, Bridgett M
Title
Mrs.
Credential
LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/30/2008
Last Updated
6/30/2008

Contact Information

Practice Location

4830 Sugar Grove Boulevard, Suite 605, Stafford, TX 77477

(281) 770-2569

Unlisted Fax

Mailing Location

4830 Sugar Grove Blvd, Suite 605, Stafford, TX 77477

(281) 770-2569

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 18700 Texas

Provider Identifiers

ID	Description	Issuer
ID 18700	Description Other	Issuer TEXAS LICENSED PROFESSIONAL COUNSELOR Texas

Bridgett M Giles Mcknight

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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