Provider Demographics
NPI:1558511428
Name:PIKE, NANCY J (LCMHC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:PIKE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL CT
Mailing Address - Street 2:SPRINGFIELD HOSPITAL PSYCHIATRY
Mailing Address - City:BELLOWS FALLS
Mailing Address - State:VT
Mailing Address - Zip Code:05101-1489
Mailing Address - Country:US
Mailing Address - Phone:802-463-9000
Mailing Address - Fax:
Practice Address - Street 1:252 RIVER ST
Practice Address - Street 2:C/O NETWORK MANAGEMENT SERVICES
Practice Address - City:SPRINGFIELD
Practice Address - State:VT
Practice Address - Zip Code:05156-2306
Practice Address - Country:US
Practice Address - Phone:802-885-5785
Practice Address - Fax:802-885-2030
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068-0000134101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health