Provider Demographics
NPI:1386127884
Name:PETEREK, BRITTANY (LMSW)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:
Last Name:PETEREK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-4170
Mailing Address - Country:US
Mailing Address - Phone:616-344-1490
Mailing Address - Fax:
Practice Address - Street 1:426 CENTURY LN STE 100
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-2200
Practice Address - Country:US
Practice Address - Phone:616-344-1149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical