HOLLY BRANNON (NPI# 1629600382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629600382 |
| Entity Type | Individual |
| Full Name | HOLLY BRANNON |
| Credential | SUDRC |
| Practice Address |
5607 Mount Murphy Road Garden Valley CA 95633-9563 |
| Mailing Address |
Po Box 871 Garden Valley CA 95633-0871 |
| Practice Telephone | 5303339460 |
| Practice Fax Number | 5303331019 |
| Mailing Telephone | 5303339460 |
| Mailing Fax Number | 5303331019 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10456 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5607 MOUNT MURPHY ROAD |
| City | GARDEN VALLEY |
| State | CA |
| Zip Code | 95633-9563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275932394 | Seamus Mccall | Specialist | 5607 Mount Murphy Road, Garden Valley, CA 95633 | 2014-08-14 |
| 1861888497 | Theresa Lamphere | Counselor | 5607 Mount Murphy Road, Garden Valley, CA 95667 | 2015-04-10 |
| 1841689700 | Barbara Keeth | Counselor | 5607 Mount Murphy Road, Garden Valley, CA 95633 | 2015-01-15 |
| 1356748412 | Jeanne Marie May | Counselor | 5607 Mount Murphy Road, Garden Valley, CA 95633 | 2014-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1083083281 | Coco Decarlo | Counselor | 5607 Mount Murphy Rd, Garden Valley, CA 95633 | 2015-09-17 |
| 1578952164 | Robin Horton | Counselor | 1507 Mount Murph Road, Garden Valley, CA 95633 | 2015-01-20 |
| 1235262635 | Lauren Elizabeth Miner | Specialist | 5607 Mount Murphy Rd., Garden Valley, CA 95633 | 2007-03-14 |
| 1821121641 | Jennifer Adele Whiteley | Specialist | 5607 Mt. Murphy Rd., Garden Valley, CA 95633 | 2007-03-13 |
| 1801931878 | Progress House, Inc. | Substance Abuse Rehabilitation Facility | Progress House Women & Children's Facility, 5607 Mount Murphy Road, Garden Valley, CA 95633 | 2007-02-20 |
| 1902412083 | Stephen Patrick Mcgee | Counselor | 5607 Mount Murphy Rd, Garden Valley, CA 95633 | 2020-09-23 |
| 1952932139 | Steviee Garcia | Counselor | 5607 Mount Murphy Rd, Garden Valley, CA 95633 | 2020-01-28 |
| 1205399243 | Savanna Patricia Wilson | Counselor | 5607 Mount Murphy Rd, Garden Valley, CA 95633 | 2019-04-08 |
| 1538688973 | Dayan Rene Knight | Counselor | 5607 Mount Murphy Rd., Garden Valley, CA 95633 | 2017-09-18 |
| Find all providers in zip 95633 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477115756 | Monica Marie Mchardy | Counselor | 5607 Mt Murphy Road, Garden Valley, CA 95633-9563 | 2019-07-08 |
| 1083083281 | Coco Decarlo | Counselor | 5607 Mount Murphy Rd, Garden Valley, CA 95633 | 2015-09-17 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1578952164 | Robin Horton | Counselor | 1507 Mount Murph Road, Garden Valley, CA 95633 | 2015-01-20 |
| 1902412083 | Stephen Patrick Mcgee | Counselor | 5607 Mount Murphy Rd, Garden Valley, CA 95633 | 2020-09-23 |
| 1891328951 | Angeline Marino | Counselor | 5607 Mount Murphy Rd, Garden Valley, CA 95633-9563 | 2020-02-18 |
| 1952932139 | Steviee Garcia | Counselor | 5607 Mount Murphy Rd, Garden Valley, CA 95633 | 2020-01-28 |
| 1851947493 | Patricia Anne Mello | Counselor | 5607 Mount Murphy Rd, Garden Valley, CA 95633-9563 | 2019-08-09 |
| 1205399243 | Savanna Patricia Wilson | Counselor | 5607 Mount Murphy Rd, Garden Valley, CA 95633 | 2019-04-08 |
| 1760944540 | Damien Lee Benavidez | Counselor | 5607 Mount Murphy Rd, Garden Valley, CA 95633-9563 | 2019-04-02 |
| Find all providers in GARDEN VALLEY | ||||
| City | GARDEN VALLEY |
| Zip Code | 95633 |
Please comment or provide details below to improve the information on HOLLY BRANNON.
| 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.