MRS. MICHELLE BRYAN


Address: 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691
Phone: 4172571833

MRS. MICHELLE BRYAN (NPI# 1750827028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750827028
Entity Type Individual
Full Name MRS. MICHELLE BRYAN
Credential RASAC1
Practice Address 1639 Bruce Smith Pkwy
West Plains
MO 65775-7691
Practice Telephone 4172571833
Practice Fax Number 4172560488
Mailing Telephone 4172571833
Mailing Fax Number 4172560488
Enumeration Date 2017-01-11
Last Update Date 2017-01-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
9568 MO Behavioral Health & Social Service Providers

Other Providers MICHELLE BRYAN

NPI Name Taxonomy Address Enumeration
1346294261 Michelle L. Bryan Nurse Practitioner 4319 20th St W, Suite 101, Bradenton, FL 34205-5000 2006-05-22
1932410891 Michelle Bryan Surgery 1 Akron General Ave, Akron, OH 44307 2010-06-25
1437388618 Michelle L. Bryan Family Medicine 1050 E Broadway, Monona, WI 53716-4023 2009-07-08
1710093240 Michelle Bryan Clinical Nurse Specialist 4802 10th Ave, Brooklyn, NY 11219-2916 2006-08-21
1467417345 Michelle L. Bryan Physical Therapist 1153 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4835 2006-04-20
1346246451 Michelle Lynn Bryan Occupational Therapist 1603 Chase Rd, Logansport, IN 46947-1538 2005-06-23

Office Location

Street Address 1639 BRUCE SMITH PKWY
City WEST PLAINS
State MO
Zip Code 65775-7691

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164833877 Bhg Xxviii, LLC Clinic/Center 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 2014-05-15
1467923458 Brittany Jackson Licensed Practical Nurse 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 2018-12-17
1053789933 William Stines Licensed Practical Nurse 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 2015-09-09
1700272754 Jennifer Wilkins Counselor 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 2015-04-07
1558757518 Crystal Voyles Licensed Practical Nurse 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 2015-04-07
1881098515 Tess Margaret Miley Counselor 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 2014-10-09
1841694585 Amanda Woodward Registered Nurse 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 2014-10-09
1750785499 Melissa Bassham Registered Nurse 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 2014-10-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598373359 Ozarks Medical Center Clinic/Center Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 2020-07-17
1962958678 Fanny Ray Massage Therapist 1105 Independence Drive, West Plains, MO 65775 2016-09-01
1295184166 Shaunda Faye Wolfe Case Manager/Care Coordinator 2301 K Hwy Apt. 2, West Plains, MO 65775 2016-06-10
1740694009 Mary Loretta Rogganbuck Counselor 1211 Porter Wagoner #23, West Plains, MO 65775 2014-06-16
1548673858 John Tollenaar Physical Therapist 1480 8th Streeet, West Plains, MO 65775 2014-06-04
1861818080 Raymond Eugene Richardson Case Manager/Care Coordinator 1015 Lanton Road, West Plains, MO 65775 2014-03-12
1710309083 Jared M Sadowitz Physical Therapist 1100 Kentucly Ave, West Plains, MO 65775 2014-01-06
1346682184 Mark L. Dake Dds, Msd and David Sander Dmd, Mds Dentist 181 N. Kentucky, Suite 300, West Plains, MO 65775 2013-07-22
1427307024 Anita M. Nelson Behavioral Analyst 8388 Pr 2731, West Plains, MO 65775 2012-08-29
1780959684 Ozarks Medical Center Pharmacy 18 Parkway Center, West Plains, MO 65775 2012-03-12
Find all providers in zip 65775

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740586551 Joseph Lee Hackworth Counselor 510 Chippewa St, #102, West Plains, MO 65775-3808 2011-01-27
1558498014 Karen Marie Will Counselor 1015 Lanton Rd, West Plains, MO 65775-3854 2007-02-28
1063071546 Cretia Lynne Ussery Counselor 1015 Lanton Rd, West Plains, MO 65775-3854 2019-06-10
1144792870 Matthew Koelling Counselor 1015 Lanton Rd, West Plains, MO 65775-3854 2018-12-19
1972022242 Angela Dyer Counselor 3411 Division Dr, West Plains, MO 65775 2017-09-18
1689190654 Earl Brown Jr. Counselor 1015 Lanton Rd, West Plains, MO 65775-3854 2017-08-21
1235516766 Brandy Peek Counselor 1015 Lanton Rd, West Plains, MO 65775-3854 2015-05-05
1700272754 Jennifer Wilkins Counselor 1639 Bruce Smith Pkwy, West Plains, MO 65775-7691 2015-04-07
1831533116 James L Gillum Counselor 1015 Lanton Rd, West Plains, MO 65775-3854 2013-04-17
1053558338 Jeannie Rhoads-ashley Counselor 1015 Lanton Rd, West Plains, MO 65775-3854 2009-01-08
Find all providers in WEST PLAINS

Competitor

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City WEST PLAINS
Zip Code 65775

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Dataset Information

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.

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