MS. BRENDALIN A BACON (NPI# 1881259323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881259323 |
| Entity Type | Individual |
| Full Name | MS. BRENDALIN A BACON |
| Credential | M.S MENTAL HEALTH |
| Practice Address |
4713 El Nueva Ave Fort Pierce FL 34946-1035 |
| Practice Telephone | 4072563718 |
| Mailing Telephone | 4072563718 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMH18275 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4713 EL NUEVA AVE |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34946-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134617004 | Vision Scientific LLC | Clinical Medical Laboratory | 2286 N Us Highway 1, Fort Pierce, FL 34946 | 2018-04-26 |
| 1104031061 | Kendis Archer | General Practice | 1506 Barcelona Ave, Fort Pierce, FL 34946 | 2007-05-14 |
| 1386730984 | Omniflight Helicopters, Inc. | Ambulance | 3105 Airmans Drive, Fort Pierce, FL 34946 | 2006-10-04 |
| 1154966687 | Shaquanda Parker | Nurse's Aide | 4989 Avienda Ave, Fort Pierce, FL 34946-1031 | 2019-11-07 |
| 1679188916 | Yaisha Monique Sirmons | Massage Therapist | 4503 San Diego Ave, Fort Pierce, FL 34946-1055 | 2020-09-14 |
| 1972868990 | Duanda Clark | Occupational Therapist | 2401 Matanzas Ave, Fort Pierce, FL 34946-1165 | 2012-07-05 |
| 1215276845 | Rashandia Johnson | Case Manager/Care Coordinator | 2707 Walker Dr, Fort Pierce, FL 34946-1170 | 2013-02-01 |
| 1447443502 | Doris Monroe | Licensed Practical Nurse | 1807 Barcelona Ave, Fort Pierce, FL 34946-1321 | 2007-08-22 |
| 1821516899 | Nursing 360 LLC | Clinic/Center | 1504 Valencia Ave, Fort Pierce, FL 34946-1374 | 2017-08-30 |
| 1730723040 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1851 N Us Highway 1, Fort Pierce, FL 34946-1406 | 2019-10-30 |
| Find all providers in zip 34946 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024232 | Carolyn Corrina Bethel | Counselor | 2222 Colonial Rd Ste 1002222, Fort Pierce, FL 34950-5309 | 2020-05-10 |
| 1114419751 | Ken N Brown | Counselor | 130 S Indian River Dr Ste 301, Fort Pierce, FL 34950-4353 | 2018-05-30 |
| 1881102051 | Toni Marlene Lopez | Counselor | 5202 Melissa Ln, Fort Pierce, FL 34946-9126 | 2018-01-22 |
| 1770930042 | Lucresha Reeves | Counselor | 6804 Santa Clara Blvd, Fort Pierce, FL 34951-1293 | 2016-05-17 |
| 1790170892 | Sade Blackshear | Counselor | 97 Virginia Park Blvd, Fort Pierce, FL 34947-6908 | 2015-04-06 |
| 1750789483 | Lisa Lewis | Counselor | 2814 S Us Highway 1 Ste D-4, Fort Pierce, FL 34982 | 2014-12-11 |
| 1003224338 | Jean-mary Monval | Counselor | 2011 S 25th St Ste 108, Fort Pierce, FL 34947-4795 | 2014-07-30 |
| 1972929834 | Violet Burke | Counselor | 494 Maple Ave, Fort Pierce, FL 34982-5949 | 2014-03-14 |
| 1083043772 | Chaute Thompson | Counselor | 130 S Indian River Dr Ste 202, Fort Pierce, FL 34950-4353 | 2013-11-04 |
| 1447590153 | Cleveland Mitchner | Counselor | 3117 W Dixie Blvd, Fort Pierce, FL 34946-1721 | 2013-02-18 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34946 |
Please comment or provide details below to improve the information on MS. BRENDALIN A BACON.
| 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.