LANA ELIZABETH BRONN


Address: 89 N Main St Ste 204, Driggs, ID 83422-5164
Phone: 3077346040

LANA ELIZABETH BRONN (NPI# 1467070193) 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) 1467070193
Entity Type Individual
Full Name LANA ELIZABETH BRONN
Credential PMFT
Practice Address 89 N Main St Ste 204
Driggs
ID 83422-5164
Mailing Address 1490 Gregory Ln # 4
Jackson
WY 83001-9021
Practice Telephone 3077346040
Mailing Telephone 3077346040
Enumeration Date 2020-07-09
Last Update Date 2020-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist PMFT-296 WY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WY WYOMING LICENSURE PMFT-296 01

Office Location

Street Address 89 N MAIN ST STE 204
City DRIGGS
State ID
Zip Code 83422-5164

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598310278 Lance Ole Einerson Physical Therapist 440 North Main Street, Driggs, ID 83422 2019-08-08
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1730636358 Tkj, LLC Health Educator 1251 Arrowhead Plaza Way, Driggs, ID 83422 2016-09-01
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1922458942 Candace Dayton Social Worker 620 Centenial Mountain Drive, Ste 12, Driggs, ID 83422 2016-06-21
1881092955 Rebecca A. Park Massage Therapist 500 E Ski Hill Rd, Driggs, ID 83422 2014-12-05
1902211089 Anna Rhea Hirnyck Physical Therapist 500 E Ski Hill, Drigga, ID 83422 2014-06-26
1982018867 Ruby Isaly Speech-Language Pathologist 560 E Howard Avenue, Driggs, ID 83422 2014-06-18
1043633712 Neerings Dental Inc, Dba Teton Valley Dental Center Dentist 235 Wallace Ave, Driggs, ID 83422 2014-01-30
1205261583 Sara Helen Mckeown White Counselor 1300 Arrowhead Plaza Way, Driggs, ID 83422 2013-09-05
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831725902 Steven Michael Moroney Marriage & Family Therapist 24338 N Mckenzie Dr, Rathdrum, ID 83858-7390 2020-03-20
1285268102 Sandra Marie Gunn Marriage & Family Therapist 2426 N Merritt Creek Loop Ste E, Coeur D Alene, ID 83814-4961 2020-02-29
1790322451 Karen Casperson Marriage & Family Therapist 1018 Atelier Condo Dr., Sun Valley, ID 83353 2019-12-02
1629613823 Counseling Solutions Center LLC Marriage & Family Therapist 2618 East Snocreek, Eagle, ID 83616 2019-11-12
1528602828 Damaris Ellen Conrad Marriage & Family Therapist 205 S Lancaster Dr, Nampa, ID 83686-8077 2019-10-30
1063064111 Stacy Annette Brittain Marriage & Family Therapist 501 E Indiana Ave, Coeur D Alene, ID 83814-2909 2019-07-09
1326510454 Timothy Young Marriage & Family Therapist 211 E Coeur D Alene Ave, Coeur D Alene, ID 83814-4926 2018-12-31
1851819486 Laura M. Brotherson Marriage & Family Therapist Cherry Lane Counseling Center 403 W. Cherry Lane, Meridian, ID 83642 2017-09-04
1972043966 Jedidiah Dykstra Marriage & Family Therapist 1140 American Legion Blvd, Mountain Home, ID 83647-2821 2017-02-24
1699228577 Relationship Solutions LLC Marriage & Family Therapist 1714 N Quail Run Blvd, Post Falls, ID 83854-6024 2016-07-27
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Competitor

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City DRIGGS
Zip Code 83422

Improve Information

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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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