Provider Demographics
NPI:1134596190
Name:MCGURK, BRIGIT ANN
Entity type:Individual
Prefix:
First Name:BRIGIT
Middle Name:ANN
Last Name:MCGURK
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 1:3775 MOORPARK CT
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89433-8289
Mailing Address - Country:US
Mailing Address - Phone:702-677-1809
Mailing Address - Fax:
Practice Address - Street 1:3775 MOORPARK CT
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:NV
Practice Address - Zip Code:89433-8289
Practice Address - Country:US
Practice Address - Phone:702-677-1809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1603224226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health