Brianna Lewallen, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC015490 Issued in GA

Practice address

331 Meadow Lark Way
Maysville, GA 30558-1946

Phone

(706) 908-4889

NPI assigned

Feb 27, 2025

Last updated

Mar 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1053118018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MEADOW LARK WAY",
            "city": "MAYSVILLE",
            "state": "GA",
            "postal_code": "305581946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MEADOW LARK WAY",
            "city": "MAYSVILLE",
            "state": "GA",
            "postal_code": "305581946",
            "telephone_number": "706-908-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWALLEN",
        "first_name": "BRIANNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC015490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flint Family Healthcare Inc
• Zoey Thea Forrester
• Joshua F Gastley, NP-C
• Danielle Ginn
• Gary Stephen Kinsey, MD
• Martin Medical Transport, LLC
• Maysville Family Practice, Inc
• Maysville Pharmacy Inc
• Maysville Pharmacy, Inc.
• Paradise Living (Southern Pines Senior Living)

• Mental Health Counselor in Maysville, GA
• Providers in Maysville, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.