TINA BRUCE (NPI# 1669763306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669763306 |
| Entity Type | Individual |
| Full Name | TINA BRUCE |
| Credential | LPC |
| Practice Address |
55 Sergeant Prentiss Dr Ste 102 Natchez MS 39120-4791 |
| Practice Telephone | 6016534581 |
| Practice Fax Number | 6016534582 |
| Mailing Telephone | 6016534581 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
5910 | LA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871077651 | Tina A Bruce | Social Worker | 522 W Park Ave, Greenwood, MS 38930-2906 | 2018-09-18 |
| 1093030686 | Tina Lynn Bruce | Licensed Practical Nurse | 668 Chauncey St, Apt 3, Brooklyn, NY 11207-1411 | 2010-04-07 |
| 1356708309 | Tina Bruce | Counselor | 1000a Emeline Ave, Santa Cruz, CA 95060-1900 | 2016-01-21 |
| Street Address |
55 SERGEANT PRENTISS DR STE 102 |
| City | NATCHEZ |
| State | MS |
| Zip Code | 39120-4791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174576730 | Tommie Brian Stretch | Pediatrics | 55 Sergeant Prentiss Dr, Suite 7, Natchez, MS 39120-4782 | 2006-05-17 |
| 1669979191 | Latoya Scott Hammett | Counselor | 55 Sergeant Prentiss Dr, Natchez, MS 39120-4782 | 2018-04-11 |
| 1679823090 | Lacey Danielle Keeth | Nurse Practitioner | 55 Sergeant Prentiss Dr, Suite 100, Natchez, MS 39120-4782 | 2012-09-12 |
| 1932347259 | Mary Ann Roth-wyrick | Occupational Therapist | 55 Sergeant Prentiss Dr, Suite 8, Natchez, MS 39120-4782 | 2009-01-23 |
| 1124275581 | Family Clinic for Health & Wellness, LLC. | Nurse Practitioner | 55 Sergeant Prentiss Dr, Suite 104, Natchez, MS 39120-4782 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903518 | Rosa L. Newman | Foster Care Agency | 722 North Rankin St, Natchez, MS 39120 | 2019-10-11 |
| 1114572625 | Tiffany Cassandra Lockhart | Counselor | 60 Roux Road, Natchez, MS 39120 | 2019-08-02 |
| 1164918728 | We Care Express LLC | Non-emergency Medical Transport (VAN) | 137 Greystone Pl, Natchez, MS 39120 | 2018-07-06 |
| 1053841585 | Tyler Lee Huls | Specialist/Technologist | 48 Sgt Prentiss Drive, Natchez, MS 39120 | 2017-06-18 |
| 1336594985 | Nkechinyere Christina Nwoko | Podiatrist | 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 | 2016-05-02 |
| 1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
| 1760818017 | Miss-lou Dental LLC | Dentist | 110 Highway 61 South, Natchez, MS 39120 | 2013-09-18 |
| 1922344902 | Bluebonnet Dental Care Natchez | Dentist | 101 Highway 61 South, Natchez, MS 39120 | 2012-12-20 |
| 1265781033 | Hal Sheldon Edwards | Pharmacist | 285 Sgt Prentiss Drive, Natchez, MS 39120 | 2012-09-07 |
| 1790031607 | Catherine Misita | Social Worker | 113 N Union St, Natchez, MS 39120 | 2012-07-29 |
| Find all providers in zip 39120 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491374 | Tiara Goldsberry | Counselor | 9 Roux 61 Dr, Natchez, MS 39120-2176 | 2020-03-11 |
| 1114572625 | Tiffany Cassandra Lockhart | Counselor | 60 Roux Road, Natchez, MS 39120 | 2019-08-02 |
| 1952897977 | Antonio Kaho | Counselor | 55 Seargent Dr Ste 102, Natchez, MS 39120-4791 | 2018-07-02 |
| 1770090193 | Jessica Gibson Dean | Counselor | 11 Roselawn Dr, Natchez, MS 39120-4069 | 2018-01-08 |
| 1558878272 | Patricia Gaines | Counselor | 55 Sergeant Prentiss Dr Ste 102, Natchez, MS 39120-4791 | 2018-01-03 |
| 1699286609 | Dawn G Williams | Counselor | 200 S Wall St, Natchez, MS 39121 | 2017-10-17 |
| 1184146821 | Stephanie Dellinger Faust | Counselor | 764a Liberty Rd, Natchez, MS 39120-7914 | 2017-07-14 |
| 1013463447 | Brenda Forest | Counselor | 213 Johnson Street, Natchez, LA 71456 | 2016-08-26 |
| 1427502137 | Valenthia Smith | Counselor | 1225 Horseshoe Dr, Natchez, MS 39120-2735 | 2016-08-10 |
| 1023473568 | Anna Forest | Counselor | 154 Johnson Lp., Natchez, LA 71456 | 2015-12-29 |
| Find all providers in NATCHEZ | ||||
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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.