THERESA BRANNIGAN (NPI# 1568920148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568920148 |
| Entity Type | Individual |
| Full Name | THERESA BRANNIGAN |
| Practice Address |
567 Nw Lake Whitney Pl Ste 105 Port Saint Lucie FL 34986-1629 |
| Mailing Address |
2632 Sw Port St Lucie Blvd Port Saint Lucie FL 34953-2845 |
| Practice Telephone | 7723378164 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
9663 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2632 Sw Port St Lucie Blvd, Port Saint Lucie, FL 349532845 | 7728738811 |
| Street Address |
567 NW LAKE WHITNEY PL STE 105 |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34986-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667104 | Karissa Bolden | Counselor | 5776 Nw Zinnia St, Port Saint Lucie, FL 34986-3501 | 2020-07-28 |
| 1356967178 | Vanessa Saavedra Perez Rowe | Counselor | 7512 Nw Farnsworth Cir, Port Saint Lucie, FL 34987-3036 | 2020-06-17 |
| 1891317707 | Maria Lam | Counselor | 5854 Nw Fogel Ct, Port Saint Lucie, FL 34986-3827 | 2020-05-13 |
| 1215576327 | Kathryn Gayle Rogers | Counselor | 9668 Sw Chestwood Ave, Port Saint Lucie, FL 34987-2515 | 2020-01-06 |
| 1053958827 | Faith Sanders | Counselor | 1066 Sw Dartmouth Ave, Port Saint Lucie, FL 34953-8516 | 2019-11-29 |
| 1689220824 | Schillena Fervily | Counselor | 4481 Sw New Ct, Port Saint Lucie, FL 34953-5458 | 2019-08-14 |
| 1144876236 | Joanne Arroyo | Counselor | 2244 Se Trillo St, Port Saint Lucie, FL 34952-6872 | 2019-08-14 |
| 1801350830 | Laverne Webber | Counselor | 3260 Sw Rosser Blvd, Port Saint Lucie, FL 34953-4719 | 2019-01-23 |
| 1063985125 | Ralph Glen Manning | Counselor | 289 Se Sagamore Terrace, Port Saint Lucie, FL 34983 | 2019-01-10 |
| 1497226500 | Sophia Walden | Counselor | 531 Sw Nagle Pl, Port Saint Lucie, FL 34953-3157 | 2018-12-16 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34986 |
Please comment or provide details below to improve the information on THERESA BRANNIGAN.
| 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.