Provider Demographics
NPI:1124538400
Name:BRIGGS, PEGGY RENEE
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:RENEE
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 N STATE ST STE A
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48740-9255
Mailing Address - Country:US
Mailing Address - Phone:989-724-5655
Mailing Address - Fax:
Practice Address - Street 1:205 N STATE ST STE A
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:MI
Practice Address - Zip Code:48740-9255
Practice Address - Country:US
Practice Address - Phone:989-724-5655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health