AGATHA TINA BRUNO (NPI# 1821463944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821463944 |
| Entity Type | Individual |
| Full Name | AGATHA TINA BRUNO |
| Credential | L.P.C. |
| Practice Address |
130 Main St Blakely PA 18447-1264 |
| Practice Telephone | 5705755068 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC008145 | PA | Behavioral Health & Social Service Providers |
| Street Address |
130 MAIN ST |
| City | BLAKELY |
| State | PA |
| Zip Code | 18447-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700198413 | Complete Chiropractic and Rehabilitation | Chiropractor | 130 Main St, Blakely, PA 18447-1232 | 2010-07-10 |
| 1619147089 | Carlyn B Carper | Counselor | 130 Main St, Blakely, PA 18447-1264 | 2008-03-03 |
| 1609827955 | Stephen Straka | Chiropractor | 130 Main St, Blakely, PA 18447-1232 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629695853 | Dean Eleftherakis | Acupuncturist | 503 Sunset Dr., Dickson City, PA 18447 | 2020-07-03 |
| 1881838969 | Physical Therapy Advantage, LLC | Specialist | 1446 E Lackawanna Ave, Olyphant, PA 18447 | 2009-04-21 |
| 1689846529 | William John Morris | Dentist | 112 Delaware Ave, Olyphant, PA 18447 | 2008-04-01 |
| 1386856664 | Cara Marie Koslow | Counselor | 1714 Main St, Blakely, PA 18447 | 2007-05-07 |
| 1760607204 | Mariel Gazmen Carino | General Practice | 117 Susquehanna Ave, Olyphant, PA 18447 | 2007-04-17 |
| 1194883850 | Jason Patrick Yusavage | Chiropractor | 514 Burke By-pass, Olyphant, PA 18447 | 2006-12-05 |
| 1477549855 | Lackawanna County Employees | Skilled Nursing Facility | Sturges Road, Olyphant, PA 18447 | 2005-09-21 |
| 1164927695 | Emilia Ivanova Slavova | Nurse Practitioner | 1619 Main Street, Olyphant, PA 18447 | 2018-03-27 |
| 1134536535 | Geisinger Clinic | Family Medicine | 221 River St, Olyphant, PA 18447 | 2014-07-17 |
| 1326485020 | Geisinger Clinic | Internal Medicine | 1500 Main Street, Dickson City, PA 18447 | 2013-06-04 |
| Find all providers in zip 18447 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952830721 | Penelope Leigh Mcdonald | Counselor | 763 Jesse Johnson Dr, Blakely, GA 39823-3224 | 2017-06-06 |
| 1063562221 | Self Discovery Counseling and Consulting Inc | Counselor | 116 South Main St., Blakely, GA 39823 | 2007-01-11 |
| 1528169000 | Kay Newberry Brooks | Counselor | 2019 S Main St, Blakely, GA 39823-2267 | 2006-09-26 |
| 1821624040 | Haley Rykard | Counselor | 763 Jesse Johnson Dr, Blakely, GA 39823-3224 | 2020-03-19 |
| 1437713773 | Jennifer Maureen Mancia | Counselor | 1813 Main St, Blakely, PA 18447-1265 | 2019-04-23 |
| 1083070007 | Katherine Purswell | Counselor | 235 Main St, Blakely, PA 18447-1233 | 2016-01-06 |
| 1144574013 | Tara Marie Walker | Counselor | 241 Main St, Blakely, PA 18447-1233 | 2012-10-31 |
| 1346590213 | Alisa Spann Price | Counselor | 12799 Magnolia St, Blakely, GA 39823-2315 | 2012-09-18 |
| 1679865976 | William Mcmahon | Counselor | 235 Main St, Blakely, PA 18447-1233 | 2011-05-05 |
| 1659694677 | Marlee Stefanelli Gen Ptr | Counselor | 1714 Main St, Blakely, PA 18447-1362 | 2010-03-04 |
| Find all providers in BLAKELY | ||||
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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.