ANDREW J BRELAND (NPI# 1013436062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013436062 |
| Entity Type | Individual |
| Full Name | ANDREW J BRELAND |
| Credential | MS, LPC, BC-TMH, NCC |
| Practice Address |
210 E Peace St Canton MS 39046 |
| Mailing Address |
210 W Jackson St Ridgeland MS 39157-2312 |
| Practice Telephone | 6628830331 |
| Mailing Telephone | 6628830331 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13744 | TX | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2281 | MS | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
75012 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 374571302 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 210 W Jackson St, Ridgeland, MS 391572312 | 6628830331 |
| Street Address |
210 E PEACE ST |
| City | CANTON |
| State | MS |
| Zip Code | 39046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| 1235470139 | First Step Community Care LLC | Chore Provider | 2633 South Liberty St, Ste B, Canton, MS 39046 | 2013-03-04 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009268 | Alliance of Hope Counseling Services LLC | Counselor | 1358 Stacy Dr, Canton, MI 48188-1438 | 2020-09-29 |
| 1902418270 | Sharon S Byler Counseling, LLC | Counselor | 1511 3rd St Se, Canton, OH 44707-3246 | 2020-08-18 |
| 1083234876 | Robin L Skora Lpc, LLC | Counselor | 1948 Hendrie, Canton, MI 48187-4686 | 2020-04-21 |
| 1710537170 | Godfrey Ndubuisi Aguwa | Counselor | 46779 Creeks Bnd, Canton, MI 48188-2384 | 2019-09-18 |
| 1184288417 | Barbara Lee Parry | Counselor | 251 Vz County Road 2408, Canton, TX 75103-4068 | 2019-04-22 |
| 1649744947 | Evelynmarie Sabrinah Dorce | Counselor | 840 Commerce Trl, Canton, GA 30114-7572 | 2019-01-20 |
| 1679088413 | Taylor Clay | Counselor | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2017-12-01 |
| 1508379934 | Marsha R Mudrey | Counselor | 2205 Riverstone Boulevard, Suite 273, Canton, GA 30114-5250 | 2017-11-07 |
| 1740728906 | Meadow Winds Counseling Services | Counselor | 195 Trenton Ln, Canton, GA 30115-8194 | 2017-02-08 |
| 1043764459 | Denna Mary Gilot | Counselor | 3206 Windsor Woods Ln, Canton, MA 02021-3469 | 2016-08-15 |
| Find all providers in CANTON | ||||
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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.