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MARDELL Z BRUNSON
NPI 1619784006
Counselor in Brunswick, GA

Active since December 18, 2024
100 COASTAL VILLAGE DR APT 102, BRUNSWICK, GA 31520(912) 230-7689 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mardell Z Brunson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARDELL Z BRUNSON (NPI 1619784006) is an individual counselor in Brunswick, Georgia and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1619784006
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARDELL Z BRUNSON
Location Address100 COASTAL VILLAGE DR APT 102Brunswick, GA 31520-1936
Mailing Address100 Coastal Village Dr Apt 102Brunswick, GA 31520-1936 · (912) 230-7689
Phone(912) 230-7689
Sole ProprietorYes
Enumeration DateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1619784006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
100 COASTAL VILLAGE DR APT 102, Brunswick, GA 31520
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mardell Brunson's NPI number?

The NPI number for Mardell Brunson is 1619784006. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Where is Mardell Brunson located?

Mardell Brunson practices at 100 Coastal Village Dr Apt 102, Brunswick, GA 31520. The listed phone number is (912) 230-7689.

What is Mardell Brunson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mardell Brunson was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.