# PICKY GIRL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518816685
- **Authorized official:** MR. HEMANTA ROY (CEO)
- **Authorized official phone:** (408) 748-4101

## Contact information

- **Practice address:** 919 SHERWOOD DR, WARRENTON, MO 63383-2241
- **Practice address phone:** (408) 748-4101
- **Practice address fax:** (833) 491-1161
- **Mailing address:** 919 SHERWOOD DR, WARRENTON, MO 63383-2241
- **Mailing address phone:** (408) 748-4101
- **Mailing address fax:** (833) 491-1161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0000X | Pain Management Registered Nurse | — | NULL | — |
| 163WP0000X | Pain Management Registered Nurse | — | — | — |
| 1835P1400X | Pain Management Pharmacist | — | NULL | — |
| 1835P1400X | Pain Management Pharmacist | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 01/22/2026
- **Last updated:** 01/22/2026