MS. JACQUELINE BROCK (NPI# 1295171510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295171510 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE BROCK |
| Credential | M.ED |
| Practice Address |
1016 Silo Ln Anderson SC 29625-6753 |
| Practice Telephone | 8643145707 |
| Mailing Telephone | 8643145707 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5250 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386019123 | Jacqueline Marie Brock | Counselor | 3106 S W S Young Dr, Suite 201-b, Killeen, TX 76542-2000 | 2015-12-04 |
| 1780905000 | Jacqueline D Brock | Marriage & Family Therapist | 760 N Euclid St, Suite 108, Anaheim, CA 92801-4133 | 2010-06-21 |
| Street Address |
1016 SILO LN |
| City | ANDERSON |
| State | SC |
| Zip Code | 29625-6753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554704 | Kathryn Moules Newton | Registered Nurse | 200 Mcgee Ed., Anderson, SC 29625 | 2018-07-12 |
| 1285121640 | Linda Reeves Mccullough | Registered Nurse | 1014bwhitehall Rd., Anderson, SC 29625 | 2018-04-20 |
| 1245688787 | Sacred Heart Beats | Music Therapist | 1107 Watkins Road, Anderson, SC 29625 | 2016-05-25 |
| 1649667718 | Deanna R Luvene | Counselor | 515b Camson Road, Abderson, SC 29625 | 2015-04-16 |
| 1295162048 | Kimberly Dickerson | Pharmacist | 922 Highway 28 By-pass, Anderson, SC 29625 | 2013-10-10 |
| 1386998458 | Judy E. Festa-hanna | Counselor | 226 Mcgee Road, Anderson, SC 29625 | 2012-10-29 |
| 1902156201 | Britanny Ab Rood | Pharmacist | 109 Hwy 28 Bypass, Anderson, SC 29625 | 2012-09-13 |
| 1689993065 | Carey Glenn | Midwife | 1107 Watkins Rd, Anderson, SC 29625 | 2010-05-24 |
| 1033350616 | Mobility Rehab Products, LLC | Durable Medical Equipment & Medical Supplies | 235 Polaris Street, Anderson, SC 29625 | 2009-03-12 |
| 1437329018 | Moriah Healthcare Services LLC | Clinic/Center | 823 Pearman Dairy Rd, Anderson, SC 29625 | 2008-03-10 |
| Find all providers in zip 29625 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799364 | Carpe Diem Counseling LLC | Counselor | 210 N Mcduffie St Ste 105, Anderson, SC 29621-5648 | 2020-04-22 |
| 1023581626 | Juliette Brown | Counselor | 515a Camson Rd, Anderson, SC 29625-1407 | 2019-01-07 |
| 1346715133 | Rhozonda Jefferson Sonnette Jefferson | Counselor | 1106 Meridian St Ste 215, Anderson, IN 46016-1761 | 2018-10-08 |
| 1104355437 | Tammy Nicol Williams | Counselor | 200 Camson Rd, Anderson, SC 29625-1610 | 2017-06-09 |
| 1790133197 | Erica Fleming Rutledge | Counselor | 4325a Old Mill Rd, Suite 2b, Anderson, SC 29621-1117 | 2016-05-26 |
| 1861854879 | Elysian | Counselor | 2082 N Bilbrey Ln, Anderson, IN 46011-8756 | 2016-03-28 |
| 1821485038 | Jenifer Mudd | Counselor | 909 Northwood Dr, Anderson, IN 46011-1070 | 2015-04-26 |
| 1053704916 | Life Options, LLC | Counselor | 606 Fairmont Rd, Anderson, SC 29621-5934 | 2015-03-16 |
| 1235422395 | Deborah Jean Axness | Counselor | 2010 Brentwood Dr, Anderson, IN 46011-4042 | 2011-05-24 |
| 1477797587 | Angie Waters Gilstrap | Counselor | 121 N Main St Unit 301, Anderson, SC 29621-5661 | 2009-04-21 |
| Find all providers in ANDERSON | ||||
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| 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.