JOHANNA PIKE LPC, MAAT
NPI 1750745600
Counselor - Professional in Putnam, CT
Active since April 07, 2016
About Johanna Pike Lpc, Maat NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHANNA PIKE LPC, MAAT (NPI 1750745600) is an individual professional provider in Putnam, Connecticut, licensed in Connecticut (3414) and active in the NPI registry since April 2016.
NPPES Registry Identity
NPI1750745600
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJOHANNA PIKECredential: LPC, MAAT
Location Address134 MAIN STPutnam, CT 06260-1920
Mailing Address6 Ledgebrook Dr Ste DMansfield Center, CT 06250-1684 · (860) 833-2657
Phone(860) 288-2368
Sole ProprietorNo
Enumeration DateApril 7, 2016
Last NPPES UpdateNovember 16, 20223 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
✔ NPI 1750745600 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 3414
134 MAIN ST, Putnam, CT 06260
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750745600, enumerated as an "individual" on April 07, 2016.
The provider is located at 134 MAIN ST PUTNAM, CT 06260 and the phone number is (860) 288-2368.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
