MS. BRANDY N GRESHAM


Address: 5532 Frog Pond Ln, Virginia Beach, VA 23455-6767
Phone: 7577524597

MS. BRANDY N GRESHAM (NPI# 1164933800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164933800
Entity Type Individual
Full Name MS. BRANDY N GRESHAM
Credential MA, CAADC, CSAC
Practice Address 5532 Frog Pond Ln
Virginia Beach
VA 23455-6767
Mailing Address Po Box 5043
Virginia Beach
VA 23471-0043
Practice Telephone 7577524597
Mailing Telephone 7577524597
Enumeration Date 2017-10-20
Last Update Date 2017-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0710103174 VA Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 5532 FROG POND LN
City VIRGINIA BEACH
State VA
Zip Code 23455-6767

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356941181 Amy H Drescher LLC Counselor 3615 Atlantic Ave Apt 302, Virginia Beach, VA 23451-2749 2020-10-30
1629678735 Stephanie Ellzey Counselor 4169 Virginia Beach Blvd Ste 150, Virginia Beach, VA 23452-1783 2020-10-28
1881208650 Tracie Marie Romero Counselor 236 Mustag Trail Ste, Virginia Beach, VA 23452 2020-08-31
1912510991 Briahna Van Nostern Counselor 669 Pinebrook Dr, Virginia Beach, VA 23462-4772 2020-08-28
1750999280 Barbara Stuart Ford Counselor 6477 College Park Sq Ste 216, Virginia Beach, VA 23464-3611 2020-07-21
1184242489 Leah Laura Crawford Counselor 2397 Liberty Way Ste 103, Virginia Beach, VA 23456-3464 2020-07-13
1871119321 Pembroke Psychotherapy LLC Counselor 4605 Pembroke Lake Cir Ste 103c, Virginia Beach, VA 23455-6434 2020-06-21
1285256768 Robyn Melinda Leroy Counselor 1064 Laskin Rd Ste 14c, Virginia Beach, VA 23451-6337 2020-05-07
1013543560 Frank Douglass Bond Counselor 5267 Greenwich Rd Ste 100, Virginia Beach, VA 23462-6028 2020-03-17
1821621640 Hailey Rae Gier Counselor 4420 Bear Trl, Virginia Beach, VA 23456-7308 2020-02-20
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Competitor

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City VIRGINIA BEACH
Zip Code 23455

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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