Breah Wheeler Ward, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2012008189 Issued in MO

Practice address

608 Pine St
Farmington, MO 63640-3020

Phone

(573) 756-6674

Fax

(573) 756-5579

NPI assigned

Mar 26, 2012

Sex

Female

Sole proprietor

No

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1295001121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 COUNTY ROAD 94A",
            "city": "IRONTON",
            "state": "MO",
            "postal_code": "636504154",
            "telephone_number": "573-631-5158",
            "fax_number": "573-756-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403020",
            "telephone_number": "573-756-6674",
            "fax_number": "573-756-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "BREAH",
        "middle_name": "WHEELER",
        "name_prefix": "Mrs.",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012008189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Vern Walker, L.P.C.
• Amy Dianna Wallen, FNP
• Pamela Renne Wallen, PSY.D.
• Sheila Estelle Walton
• Miranda Wampler
• Lois E Ward, DC
• Mark E Wardlow Jr., LPC
• Sarah Ware, PN
• Kyle F Warren, MD
• Washington County Memorial Hospital

• Professional Counselor in Farmington, MO
• Providers in Farmington, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.