Patricia A. Brawley, PH.D., LPC
Individual provider Active NPI Professional Counselor · McComb, MS
NPI 1013908243 · NPPES record last updated Jul 10, 2007
Key facts
- NPI
- 1013908243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0608 (MS)
- Practice address
- 208 Harmony St
McComb, MS 39648-2210 - Phone
- (601) 684-9657
- Fax
- (888) 807-7051
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0608 | MS | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0608 | MS | Yes |
Addresses
Primary practice location
208 Harmony St
McComb, MS 39648-2210
Mailing address
208 Harmony St
McComb, MS 39648-2210
Phone (601) 684-9657
Other providers in McComb, MS
- Teresa Ann Boyd
- Brenda Brace-Carter
- Christopher Harvey Bracey
- Brain Group
- Brain Group and Associates
- Trystle Bridges
- Janice Briggs
- Catina Brigss
- Jackie Eugene Brister
- Tonya Brister
All providers in McComb, MS · Professional Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.