BREANNA JOY GREENLY (NPI# 1528589843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528589843 |
| Entity Type | Individual |
| Full Name | BREANNA JOY GREENLY |
| Credential | MSW, LICSW |
| Practice Address |
4720 Burning Tree Road Birch Tree Center Duluth MN 55811 |
| Mailing Address |
5723 Tacony St Duluth MN 55807-1258 |
| Practice Telephone | 2186231800 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
19618 | MN | Behavioral Health & Social Service Providers |
| Street Address |
4720 BURNING TREE ROAD BIRCH TREE CENTER |
| City | DULUTH |
| State | MN |
| Zip Code | 55811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| 1386089654 | Megan Martin | Physical Therapy Assistant | 2501 Rice Lake Road, Duluth, MN 55811 | 2013-05-01 |
| Find all providers in zip 55811 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121929 | Richard Wallace Klomp | Counselor | 1810 Peachtree Industrial Blvd Ste 231, Duluth, GA 30097-8178 | 2020-07-07 |
| 1942862883 | Sabrina Tollefson | Counselor | 230 E Superior St Ste 202, Duluth, MN 55802-2185 | 2019-07-01 |
| 1265993927 | Bertrina Olivia West | Counselor | 10475 Medlock Bridge Rd Ste 205, Duluth, GA 30097-4446 | 2019-03-26 |
| 1740744853 | Eve-lynn R Fellersen | Counselor | 104 W Superior St Ste 200, Duluth, MN 55802-3000 | 2019-01-23 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1669966024 | Adeola Adefowoju | Counselor | 6115 Abbotts Bridge Rd Apt 403, Duluth, GA 30097-5753 | 2018-06-19 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1508319260 | Kristine Kuns | Counselor | 715 E Central Entrance, Duluth, MN 55811-5596 | 2016-07-29 |
| 1972056950 | Lakeesha Harper | Counselor | 420 Autumn Village Ct, Duluth, GA 30096-7583 | 2016-07-26 |
| 1962866814 | Tamela Renee Mcdonald | Counselor | 3235 Satellite Blvd Ste 400, Suite #300, Duluth, GA 30096-8688 | 2016-04-07 |
| Find all providers in DULUTH | ||||
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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.