MISTY MELISSA BRADY-LEE (NPI# 1992234298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992234298 |
| Entity Type | Individual |
| Full Name | MISTY MELISSA BRADY-LEE |
| Credential | MS |
| Practice Address |
4736 Grand Masters Way Woodbridge VA 22192 |
| Practice Telephone | 9795749568 |
| Mailing Telephone | 9795749568 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0701009284 | VA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
37AC00366100 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
4736 GRAND MASTERS WAY |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886151 | Mind Perception Therapy | Counselor | 4736 Grand Masters Way, Woodbridge, VA 22192-5553 | 2020-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521842 | Arthur Slye | Counselor | 4001 Price William Pkwy, Suite 300, Woodbridge, VA 22194-2219 | 2020-02-28 |
| 1134763857 | Mohammad Taahaaa Akram | Counselor | 2412 Five Fathom Cir, Woodbridge, VA 22191-6322 | 2019-11-06 |
| 1982169736 | Toinette Neube | Counselor | 12725 Effie Rose Pl, Woodbridge, VA 22192-7827 | 2019-02-06 |
| 1952828675 | Patricia Ann Profit | Counselor | 4223 Dale Blvd, Woodbridge, VA 22193-2243 | 2017-08-23 |
| 1851813497 | Summer D Watson | Counselor | 15990 Eagle Feather Dr, Woodbridge, VA 22191-6113 | 2017-07-15 |
| 1477814887 | Daron Dey | Counselor | 60 Richard Sweet Dr, Woodbridge, CT 06525-1126 | 2012-06-01 |
| 1477879971 | Bernard Shepard Siegel | Counselor | 61 Ox Bow Lane, Woodbridge, CT 06525-1525 | 2010-04-09 |
| 1285967554 | Deidra Beatrice Walker-quarterman | Counselor | 13032 Terminal Way, Woodbridge, VA 22193-6116 | 2009-09-17 |
| 1366689721 | Kimberly Arruda | Counselor | 360 Amity Rd, Woodbridge, CT 06525-2133 | 2009-01-07 |
| 1881724367 | Corliss Gillespie | Counselor | 12531 Clipper Dr, Woodbridge, VA 22192-2355 | 2007-03-06 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on MISTY MELISSA BRADY-LEE.
| 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.