THERESA BRANNIGAN NPI 1568920148

NPI Information

  • NPI: 1568920148
  • Provider Name: THERESA BRANNIGAN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 567 NW LAKE WHITNEY PL STE 105
    PORT SAINT LUCIE, FL
    ZIP 34986
  • Phone: (772) 337-8164

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NPI Details

Theresa Brannigan is a mental health counselor in Port Saint Lucie, FL. Theresa Brannigan NPI is 1568920148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

567 NW LAKE WHITNEY PL STE 105
PORT SAINT LUCIE, FL
ZIP 34986-629
Phone: (772) 337-8164

The NPI 1568920148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/4/2019 and was last updated on 1/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health9663FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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