MRS. BROOKE NICOLE HALLIDAY (NPI# 1912427931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912427931 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE NICOLE HALLIDAY |
| Other Name | BROOKE NICOLE EVANS |
| Credential | LPCC |
| Practice Address |
1875 Station Pkwy Ne Andover MN 55304 |
| Practice Telephone | 7634829598 |
| Mailing Telephone | 7634829598 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
01920 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1875 STATION PKWY NE |
| City | ANDOVER |
| State | MN |
| Zip Code | 55304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
| 1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
| 1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
| 1871755207 | Mary Elizabeth Ruprecht | Occupational Therapist | 13983 Magnolia St Nw, Andover, MN 55304 | 2008-06-26 |
| Find all providers in zip 55304 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928549 | Kristin Whitehouse | Counselor | 5 Woodfield Rd, Andover, NJ 07821-2002 | 2020-09-28 |
| 1932731635 | David C Miller | Counselor | 26 Chestnut St Ste 2a, Andover, MA 01810-3600 | 2020-02-10 |
| 1497238372 | Peter Bunnell | Counselor | 350 Lowell St, Andover, MA 01810-4400 | 2018-09-07 |
| 1366944597 | Conscious Healing Counseling Inc | Counselor | 2705 Bunker Lake Blvd Nw Ste 112, Andover, MN 55304-3785 | 2018-03-04 |
| 1124520630 | Connection Counseling Inc. | Counselor | 93 Main St Ste 131, Andover, MA 01810-3847 | 2018-03-01 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1295024123 | Elizabeth M. Green | Counselor | 140 Maple St, Box 404, Andover, NH 03216-3910 | 2011-03-31 |
| 1467758821 | Glenn Phillip Petruzzi | Counselor | 12 Essex Street, Andover, MA 01810 | 2011-02-02 |
| 1558677955 | Barbara Ann Nyhammer | Counselor | 791 139th Ln Nw, Andover, MN 55304-4002 | 2010-08-23 |
| 1558507186 | Michael L Marcoux | Counselor | 446 River Rd, Andover, MA 01810-4260 | 2009-01-03 |
| Find all providers in ANDOVER | ||||
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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.