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NPI Code Detail

MEDICARE: MICHELE DENISE BRIONES LPC

MEDICARE: MICHELE DENISE BRIONES LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor178.006959IL
2101YP2500XProfessional Counselor180.009424IL
3101YP2500XProfessional Counselor8764SC

General Provider Information

NPI Number : 1407152598
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE DENISE BRIONES LPC
Provider Business Mailing Address
First Line : 1345 PINNACLE LN
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-8640
Country : US
Telephone Number : 630-200-2844
Fax Number :
Provider Business Practice Location Address
First Line : 871 LOWCOUNTRY BLVD STE 200
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3096
Country : US
Telephone Number : 843-501-1099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2011
Last Update Date : 03/24/2023

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Directions to “ MICHELE DENISE BRIONES LPC” Practice Location

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