BRIAN M SCULLY (NPI# 1437381175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437381175 |
| Entity Type | Individual |
| Full Name | BRIAN M SCULLY |
| Credential | CMHT |
| Practice Address |
4100 Mamie St Hattiesburg MS 39402-1735 |
| Practice Telephone | 6017051901 |
| Mailing Telephone | 6017051901 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0258 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639110430 | Brian C Scully | Physical Therapist | 10321 Katy Frwy, Ste D-2, Houston, TX 77024 | 2006-06-10 |
| 1992873079 | Brian Edward Scully | Internal Medicine | 622 W 168th St, New York, NY 10032-3720 | 2006-11-30 |
| 1841209368 | Brian Thomas Scully | Internal Medicine | 3841 Piper Street, Suite T100, Anchorage, AK 99508 | 2006-08-05 |
| Street Address |
4100 MAMIE ST |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831321686 | Kimberly A Dykes | Social Worker | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-12 |
| 1427666882 | Judy Thornton | Registered Nurse | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2020-07-21 |
| 1043615313 | Marian Allen | Social Worker | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2014-10-29 |
| 1023363173 | Kelechi Nnamdi Emereonye | Psychiatry & Neurology | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2012-07-16 |
| 1831321124 | Linell Henderson | Counselor | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-20 |
| 1205068590 | Michael Digulimio | Counselor | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-20 |
| 1891927562 | Jillian N Evans | Counselor | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-14 |
| 1003048778 | Frances L Miller | Counselor | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-14 |
| 1538391123 | Connie Regan | Social Worker | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-14 |
| 1073745741 | Tiffani N Jones | Counselor | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215572102 | Solid Ground Recovery LLC | Counselor | 126 Westover Dr, Hattiesburg, MS 39402-1329 | 2019-11-14 |
| 1720635964 | Lynjaven J Gray | Counselor | 11 Woodstone Plz, Hattiesburg, MS 39402-8342 | 2019-08-22 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1851806095 | Ashley Young | Counselor | 201 Blue Gable Rd Apt 1103, Hattiesburg, MS 39401-3087 | 2017-12-11 |
| 1265955801 | Anisha Pizzferro | Counselor | 11 Woodstone Plz Ste D, Hattiesburg, MS 39402-8342 | 2017-07-25 |
| 1902329642 | Bridget Nobles | Counselor | 2201 S 28th Avenue Ext, Hattiesburg, MS 39402-3416 | 2017-07-25 |
| 1053834002 | Byron Dukes | Counselor | 41 Bonhomie Rd, Hattiesburg, MS 39401-8648 | 2017-07-21 |
| 1760882849 | Jonathan Lawless | Counselor | 109 Sandra Ln, Hattiesburg, MS 39402-1818 | 2014-08-26 |
| 1649511502 | Hope Alysia Griffith-jones | Counselor | 1707 Lincoln Rd, Suite B, Hattiesburg, MS 39402-3226 | 2013-03-01 |
| 1508151135 | Shannon Michelle Rainey | Counselor | 607 Corinne St # A-2, Hattiesburg, MS 39401-3831 | 2011-06-11 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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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.