MRS. BROOKE MCCULLEY (NPI# 1265535496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265535496 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE MCCULLEY |
| Credential | LCSW |
| Practice Address |
210 Manor St Marion AR 72364-1936 |
| Mailing Address |
896 Blythe St Memphis TN 38104-5708 |
| Practice Telephone | 8707396818 |
| Practice Fax Number | 8707391970 |
| Mailing Telephone | 9018480010 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1751-C | AR | Behavioral Health & Social Service Providers |
| Street Address |
210 MANOR ST |
| City | MARION |
| State | AR |
| Zip Code | 72364-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713315 | Counseling Consultants, Inc | Counselor | 210 Manor St, Marion, AR 72364-1936 | 2005-07-11 |
| 1649640376 | Halie Simmons | Speech-Language Pathologist | 210 Manor St, Marion, AR 72364-1936 | 2015-10-07 |
| 1134512585 | Goode Communications, Etc., Inc. | Physical Therapy Assistant | 210 Manor St, Marion, AR 72364-1936 | 2015-03-10 |
| 1891187738 | Morgan Gillenwater | Physical Therapy Assistant | 210 Manor St, Marion, AR 72364-1936 | 2015-03-02 |
| 1992106256 | Amy Bowman | Physical Therapist | 210 Manor St, Marion, AR 72364-1936 | 2014-09-05 |
| 1336548205 | Goode Communications, Etc. | Physical Therapist | 210 Manor St, Marion, AR 72364-1936 | 2014-08-17 |
| 1912251836 | Emily Ann Stanford | Speech-Language Pathologist | 210 Manor St, Marion, AR 72364-1936 | 2012-10-30 |
| 1508149055 | April Dawn Taylor | Speech-Language Pathologist | 210 Manor St, Marion, AR 72364-1936 | 2011-09-21 |
| 1437464724 | Alissa Kathryn Gray | Occupational Therapist | 210 Manor St, Marion, AR 72364-1936 | 2010-08-11 |
| 1639492812 | Reeshemah K Burgess | Counselor | 210 Manor St, Marion, AR 72364-1936 | 2010-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346577 | Gwendolyn Reeves | Counselor | 54 College Dr, Marion, NC 28752-8728 | 2020-04-27 |
| 1154816296 | Billy Gene Sheehan | Counselor | 46 Marquette Dr Ste 2, Marion, NC 28752-6680 | 2018-06-29 |
| 1932602034 | Anquinett Burnett | Counselor | 551 Burma Rd W, Marion, NC 28752-5583 | 2018-03-14 |
| 1437664521 | Jenifer Joy Aronson | Counselor | 1122 W 3rd St, Marion, IN 46952-3667 | 2017-12-11 |
| 1487163572 | Ivery Davis | Counselor | Pee Dee Mental Health, Marion Clinic, 1100 S. Main St., Marion, SC 29571-2957 | 2017-09-21 |
| 1497274468 | Shirley Lee Johnson | Counselor | 480 Saint Paul Church Rd, Marion, LA 71260-4835 | 2017-09-11 |
| 1326499740 | Casey Huff | Counselor | 202 South Bentley St, Marion, IL 62896 | 2016-06-27 |
| 1205294717 | Leah Rachelle Kelley | Counselor | 1780 Lytle Mountain Rd, Marion, NC 28752-8488 | 2016-01-29 |
| 1205209715 | Lutheran Social Services of Il | Counselor | 102 E Deyoung St Ste B, Marion, IL 62959-2724 | 2015-11-05 |
| 1366827149 | Wendy Jill Owens | Counselor | 201 Converse Rd, Marion, MA 02738-1703 | 2015-07-22 |
| Find all providers in MARION | ||||
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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.