MRS. VALERIE D BRANNEN (NPI# 1770638355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770638355 |
| Entity Type | Individual |
| Full Name | MRS. VALERIE D BRANNEN |
| Other Name | VALERIE D BRANNEN |
| Credential | LCSW |
| Practice Address |
603 W. Fleeman St Suite 4 Manila AR 72442 |
| Mailing Address |
104 Mallard Cv Bay AR 72411-9480 |
| Practice Telephone | 8705700358 |
| Practice Fax Number | 8705700359 |
| Mailing Telephone | 8708191876 |
| Mailing Fax Number | 8705700359 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2091-C | AR | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2091-C | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 227728719 | 05 | |
| AR | BCBS | 5R939 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 119 Highway 463 S, Trumann, AR 724722604 | 8708191876 |
| Street Address |
603 W. FLEEMAN ST SUITE 4 |
| City | MANILA |
| State | AR |
| Zip Code | 72442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
| 1093167470 | Julia Bailey | Counselor | 603 W. Fleeman St. Suite 4, Manila, AR 72442 | 2016-07-08 |
| 1578834693 | Whitney E Jackson | Speech-Language Pathologist | 4902 W Hwy 158, Manila, AR 72442 | 2012-01-20 |
| 1841435583 | Karen Nelda Burks | Speech-Language Pathologist | 419 East Olympia, Manila, AR 72442 | 2008-12-10 |
| 1043349236 | Richard Brett Wortham | Physical Therapist | 600 West Hwy 18, Manila, AR 72442 | 2007-03-05 |
| 1083768436 | Manila School District | Local Education Agency (LEA) | 419 East Olympia Street, Manila, AR 72442 | 2007-01-23 |
| 1962561290 | Bruce T Wilson | Dentist | 322 Hwy 18, Manila, AR 72442 | 2006-12-06 |
| 1164502290 | Brenda A Kennedy | Physician Assistant | 434 Hwy 18 Bypass, Manila, AR 72442 | 2006-10-16 |
| 1699869032 | Jackson's Pharmacy | Pharmacist | 434 Hwy. 18, Ste. C, Manila, AR 72442 | 2006-10-02 |
| 1043318041 | Delta Drugs Inc | Pharmacy | 257 S Hwy 18 Bypass, Manila, AR 72442 | 2006-09-21 |
| Find all providers in zip 72442 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221931 | Smith Counseling Center | Counselor | 517 Southwest Dr Ste H, Jonesboro, AR 72401-5858 | 2020-09-24 |
| 1508471509 | Access Counseling & Assessment Services, LLC | Counselor | 505 Amity Rd Ste 604, Conway, AR 72032-5993 | 2020-09-15 |
| 1205448370 | Teen Therapy Services LLC | Counselor | 5004 S U St Ste 202, Fort Smith, AR 72903-3600 | 2020-08-20 |
| 1003425703 | Apollo Health, LLC | Counselor | 11715 Rainwood Rd Ste B6, Little Rock, AR 72212-3968 | 2020-07-28 |
| 1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
| 1760009716 | Serenity and Soul Counseling LLC | Counselor | 1202 Ne Mcclain Rd Ste 2002, Bentonville, AR 72712-3875 | 2020-06-25 |
| 1639795511 | Mindy Lynne Durey | Counselor | 7 Medical Ln Ste H, Conway, AR 72034-4918 | 2020-06-17 |
| 1376168120 | Shea Wood | Counselor | 8 Shackleford Plz Ste 206, Little Rock, AR 72211-1853 | 2020-06-08 |
| 1740803683 | Ryan Russ LLC | Counselor | 1900 N Bryant St Ste 310, Little Rock, AR 72207-5022 | 2020-05-27 |
| 1043833197 | Re:create Joy, LLC | Counselor | 308 Glines Ct, Harrison, AR 72601-4416 | 2020-05-23 |
| 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.