MICHELLE HAMILTON BRONZO (NPI# 1134556517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134556517 |
| Entity Type | Individual |
| Full Name | MICHELLE HAMILTON BRONZO |
| Other Name | MICHELLE PAULA HAMILTON |
| Credential | LPC, LMHC, CT |
| Practice Address |
8411 Pennell St Fairfax VA 22031-4505 |
| Mailing Address |
8261 Buckspark Ln W Potomac MD 20854-4232 |
| Practice Telephone | 7036982539 |
| Mailing Telephone | 9148066308 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
005638 | NY | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701006824 | VA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
PRC14859 | DC | Behavioral Health & Social Service Providers |
| Street Address |
8411 PENNELL ST |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285823898 | Sermsak Lolak | Psychiatry & Neurology | 8411 Pennell St, Fairfax, VA 22031 | 2007-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689401 | Ann Marie Miller | Counselor | 3600 Chain Bridge Rd Ste 200, Fairfax, VA 22030-3326 | 2020-08-13 |
| 1962046995 | Rebekah Stone | Counselor | 8221 Willow Oaks Corporate Dr Ste 430, Fairfax, VA 22031-4512 | 2019-11-02 |
| 1972153831 | Nichelle Arnette Staten | Counselor | 8221 Willow Oaks Corporate Dr # Ll-225, Fairfax, VA 22031-4512 | 2019-09-12 |
| 1710451505 | Chela Clark | Counselor | 8221 Willow Oaks Corporate Dr Ste 1, Fairfax, VA 22031-4512 | 2019-01-15 |
| 1386117026 | Andrea Nunes-gardner | Counselor | 10560 Main St Ph 4, Fairfax, VA 22030-7182 | 2019-01-04 |
| 1164990974 | Takhyun Cho | Counselor | 10560 Main St Ste 508, Fairfax, VA 22030-7173 | 2018-11-09 |
| 1457831364 | Tara Danielle Soligan | Counselor | 4023 Chain Bridge Rd Ste 7, Fairfax, VA 22030-4121 | 2018-08-20 |
| 1043718091 | Tatyana V Cottle | Counselor | 3509 Queen Anne Dr, Fairfax, VA 22030-1830 | 2018-01-24 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| 1396250882 | Megan B Miller | Counselor | 8221 Willow Oaks Corporate Dr Ste 2east, Fairfax, VA 22031-4512 | 2017-12-06 |
| Find all providers in FAIRFAX | ||||
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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.