Michael Thomas Bergquist, LPC

Professional Counselor · Grayson, GA

Individual Active NPI

NPI number 1396263588

Practice location

1637 Athens Hwy
Grayson, GA 30017-1768
Phone
(678) 344-8268
Fax
(888) 627-6444

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NPI record

NPI
1396263588
Entity type
Individual (Type 1)
Enumeration date
September 7, 2017
Last updated
September 7, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X LPC008976 GA

About Michael Bergquist

Michael Thomas Bergquist, LPC is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 1637 Athens Hwy, Grayson, GA 30017-1768. The NPI number 1396263588 was assigned on September 7, 2017 and the record was last updated on September 7, 2017.

Michael Bergquist lists a license in the registry: #LPC008976 (GA) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Thomas Bergquist, LPC?

The NPI number is 1396263588.

What is the phone number of Michael Bergquist?

The phone number listed for the practice location is (678) 344-8268.

Where is Michael Bergquist located?

1637 Athens Hwy, Grayson, GA 30017-1768.

What is the taxonomy code for Michael Bergquist?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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