MR. WILLARD WISHARD BROWN (NPI# 1255455267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255455267 |
| Entity Type | Individual |
| Full Name | MR. WILLARD WISHARD BROWN |
| Credential | MA PSYCHOLOGY |
| Practice Address |
339 Triple Creek Dr Efland NC 27243-9573 |
| Practice Telephone | 9193045670 |
| Mailing Telephone | 9193045670 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6111989 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679568984 | Willard Martin Brown IIi | Family Medicine | 1985 Main St, 304, Springfield, MA 01103-1095 | 2005-09-13 |
| Street Address |
339 TRIPLE CREEK DR |
| City | EFLAND |
| State | NC |
| Zip Code | 27243-9573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699213918 | Matt Alan Schumacher | Specialist/Technologist | 1050 Cane Ridge Rd, Efland, NC 27243 | 2017-02-07 |
| 1548678816 | Whole Child Behavioral Interventions | Psychologist | 4634 Harmony Lane, Efland, NC 27243 | 2014-07-30 |
| 1477041713 | Axios Analytical, LLC | Clinical Medical Laboratory | 3510 Us Highway 70 W Ste C, Efland, NC 27243-8432 | 2018-04-23 |
| 1336363498 | Lori Oshrain | Psychologist | 6320 Bradshaw Quarry Rd, Efland, NC 27243-9153 | 2007-04-12 |
| 1912264581 | Suzanne Derby | Behavioral Analyst | 4634 Harmony Ln, Efland, NC 27243-9456 | 2012-04-19 |
| 1790301042 | Jillian Morgan Hall | Behavioral Analyst | 4634 Harmony Ln, Efland, NC 27243-9456 | 2020-06-23 |
| 1033730932 | Cara Maria Moore | Behavioral Analyst | 4634 Harmony Ln, Efland, NC 27243-9456 | 2020-05-01 |
| 1639704547 | Anthony J Decandia | Behavioral Analyst | 4634 Harmony Ln, Efland, NC 27243-9456 | 2020-03-11 |
| 1700416716 | Jordan Dye | Behavioral Analyst | 4634 Harmony Ln, Efland, NC 27243-9456 | 2020-01-17 |
| 1306400379 | Jasmine Benson | Behavior Technician | 4634 Harmony Ln, Efland, NC 27243-9456 | 2019-04-25 |
| Find all providers in zip 27243 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1407456163 | Fallon Middle Williams | Counselor | 127 Westview Meadows Dr, Goldsboro, NC 27530-9589 | 2020-10-30 |
| 1205436268 | Josette Hoffman Skinner | Counselor | 51 Park Dr Sw, Concord, NC 28027-7029 | 2020-10-29 |
| 1962002931 | Mind Over Mood | Counselor | 115 Carlos Drive, Garysburg, NC 27831 | 2020-10-29 |
| 1528668043 | Hope and Wellness Counseling Pllc | Counselor | 4017 S Nc Highway 11, Wallace, NC 28466-6111 | 2020-10-26 |
| 1205436730 | Joy Elise Chiles | Counselor | 8505 Mount Valley Ln, Raleigh, NC 27613-6931 | 2020-10-26 |
| 1588264006 | Jocelyn S Whitfield | Counselor | 1279 William Beale Rd, Pendleton, NC 27862-7015 | 2020-10-26 |
| 1225637796 | Cindy Verdoorn | Counselor | 10831 Pineville Rd Unit 9, Pineville, NC 28134-8137 | 2020-10-25 |
| 1700485430 | Travis William Richardson | Counselor | 3 Doctors Park Ste 3g, Asheville, NC 28801-4531 | 2020-10-23 |
| 1952900615 | Eastern Trauma & Recovery Counseling Service | Counselor | 11814 Us 64a, Spring Hope, NC 27882-9637 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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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.