Healthcare Provider Details

I. General information

NPI: 1144647397
Provider Name (Legal Business Name): BRIANA DENKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 UNIVERSAL CITY PLZ
UNIVERSAL CITY CA
91608-1002
US

IV. Provider business mailing address

691 ROLLING FIELDS DR
GRAHAM NC
27253-4277
US

V. Phone/Fax

Practice location:
  • Phone: 877-644-6008
  • Fax:
Mailing address:
  • Phone: 910-297-3476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP00186
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: