MRS. BRENDA SHARALYN FISHER (NPI# 1265433411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265433411 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA SHARALYN FISHER |
| Other Name | MRS. BRENDA SHARALYN FISHER |
| Credential | MA, LCAS LPC LPC-S |
| Practice Address |
4320 Southport Supply Rd Se Suite 300 Southport NC 28461-8158 |
| Mailing Address |
428 Hamilton Dr Se Bolivia NC 28422-7716 |
| Practice Telephone | 9109643352 |
| Practice Fax Number | 9108423351 |
| Mailing Telephone | 9109643352 |
| Mailing Fax Number | 9108423351 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2014-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4124 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BC/BS | 340955 | 01 |
| NC | MHN | 340955 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809589 | Brenda Fisher | Technician | 536 Mud Run Rd, Ripley, WV 25271-6067 | 2020-07-29 |
| 1154979656 | Brenda Fisher | Psychologist | 240 Glen Cove Rd, Glen Head, NY 11545-2207 | 2019-08-28 |
| 1982238614 | Brenda Fisher | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-03 |
| 1992045033 | Brenda Fisher | Occupational Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2013-02-27 |
| 1861758146 | Brenda Fisher | Social Worker | 1707 L St Nw, Suite 900, Washington, DC 20036-4201 | 2012-04-11 |
| 1356542179 | Brenda C. Fisher | Counselor | 10597 Montgomery Rd Ste 201, Cincinnati, OH 45242-4472 | 2007-05-30 |
| 1649394446 | Brenda Patricia Fisher | Pharmacist | 11 Palmetto Bay Rd, Hilton Head Island, SC 29928-3293 | 2007-03-19 |
| 1447360375 | Brenda Sue Fisher | Physician Assistant | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6010 | 2006-08-30 |
| Street Address |
4320 SOUTHPORT SUPPLY RD SE SUITE 300 |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-8158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114151990 | Sapia Psychological Associates Inc. | Psychologist | 4320 Southport Supply Rd Se, Suite 200, Southport, NC 28461-8158 | 2009-05-08 |
| 1154591642 | Robin Beck Nelson | Counselor | 4320 Southport Supply Rd Se, Suite 200, Southport, NC 28461-8158 | 2008-03-11 |
| 1396739215 | Jennifer Lee Sapia | Psychologist | 4320 Southport Supply Rd Se, Suite 400, Southport, NC 28461-8158 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720573215 | Tools4life LLC | Counselor | 103 E. 8th Street, 103, Southport, NC 28461-3523 | 2018-06-27 |
| 1023510047 | Lauren Devore | Counselor | 2960 Post Rd Ste 3b.2, Southport, CT 06890-1268 | 2018-03-06 |
| 1528292810 | Rebecca Jane Hedgecock | Counselor | 103 E 8th St, Southport, NC 28461-3523 | 2009-05-14 |
| 1659402170 | David Mabry | Counselor | 801 N Howe St Ste 8, Southport, NC 28461-3351 | 2007-03-08 |
| 1669467650 | Bridget Atchley | Counselor | 5003 Oquinn Blvd Se Ste B, South Harbour Village, Southport, NC 28461-7431 | 2005-09-15 |
| 1356815625 | Jennifer Weinstein | Counselor | 2960 Post Rd Fl 3, Southport, CT 06890-1268 | 2019-01-19 |
| 1184088700 | Carolyn E. Zoppi | Counselor | 49 John St, Suite 102, Southport, CT 06890-1484 | 2016-04-09 |
| 1174837652 | Shoreline Counseling Center, Pllc | Counselor | 4002 Executive Park Blvd, Suite 600, Southport, NC 28461-9069 | 2010-07-27 |
| 1154591642 | Robin Beck Nelson | Counselor | 4320 Southport Supply Rd Se, Suite 200, Southport, NC 28461-8158 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434511 | Cooper Counseling, Pllc | Counselor | 224 Woodbridge Dr, Mount Airy, NC 27030-7549 | 2020-10-09 |
| 1770190324 | Brittany B Greer | Counselor | 2002 Eastwood Rd Ste 305, Wilmington, NC 28403-7202 | 2020-09-28 |
| 1497361505 | Kisha Monique Lendore | Counselor | 2133 Rowland Pond Dr, Willow Spring, NC 27592-7575 | 2020-09-23 |
| 1538774872 | Jamila Milnes Cainey | Counselor | 12026 Snapping Turtle Ln, Huntersville, NC 28078-2341 | 2020-09-14 |
| 1861007759 | James Carroll Pittman IIi | Counselor | 2301 Stonehenge Dr Ste 110, Raleigh, NC 27615-4379 | 2020-09-09 |
| 1326652710 | Myracle Clay Clay-bennett | Counselor | 2933 S Miami Blvd, Durham, NC 27703-8025 | 2020-09-02 |
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1043820715 | Keep Counsel | Counselor | 8320 Hardeth Way, Raleigh, NC 27616-3237 | 2020-08-06 |
| 1427667351 | Anna-marie H Inman | Counselor | 2557 James B White Hwy N, Whiteville, NC 28472-8975 | 2020-07-27 |
| 1730797200 | Shannon Gail Sauls | Counselor | 501 America Dr, Selma, NC 27576-6143 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. BRENDA SHARALYN FISHER.
| 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.