BREANNA FIALA MA LLC NPI 1417689795

NPI Information

NPI: 1417689795
Provider Name: BREANNA FIALA, MA, LLC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1750 GRAND RIDGE CT NE STE 200
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 426-9034
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Breanna Fiala, MA, LLC is a mental health counselor in Grand Rapids, MI. Breanna Fiala, MA, LLC NPI is 1417689795. 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:

1750 GRAND RIDGE CT NE STE 200
GRAND RAPIDS, MI
ZIP 49525-043
Phone: (616) 426-9034

The enumeration date for this NPI number is 6/27/2022 and was last updated on 6/27/2022.

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
1	101YM0800X	Counselor	Mental Health	6451022226	MICHIGAN	Yes

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: 5/5/2024

NPI Synchronization or Removal

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