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MRS. PHILOMENA KURZAWE-BREAULT MA, LLP, BCBA
NPI 1679105126
Psychologist - Clinical in Fort Gratiot, MI

Active since February 12, 2020
1501 KRAFFT RD, FORT GRATIOT, MI 48059(810) 985-5125 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2025, Aug 6, 2025, Aug 23, 2024 and 3 more (6 updates tracked since 2020).

About Mrs. Philomena Kurzawe-breault Ma, Llp, Bcba NPPES

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

MRS. PHILOMENA KURZAWE-BREAULT MA, LLP, BCBA (NPI 1679105126) is an individual clinical provider in Fort Gratiot, Michigan, licensed in Michigan (6361008247) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1679105126
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMRS. PHILOMENA KURZAWE-BREAULTCredential: MA, LLP, BCBA
Location Address1501 KRAFFT RDFort Gratiot, MI 48059-3565
Mailing Address1501 Krafft RdFort Gratiot, MI 48059-3565 · (810) 985-5125
Phone(810) 985-5125
Sole ProprietorNo
Enumeration DateFebruary 12, 2020
Last NPPES UpdateNovember 12, 20256 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1679105126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6361008247
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 7401002968 (MI)
1501 KRAFFT RD, Fort Gratiot, MI 48059
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APRIL GARDNER
Social Worker (Clinical)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
MS. ANDREA JESSICA COVREA PMH-NP
Nurse Practitioner (Psychiatric/Mental Health)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
ASHLEY SLY LLMSW
Counselor (Mental Health)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
DR. DEVIN R SOUTH PSYD, LP
Psychologist (Clinical)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
AMY BECK LMSW
Social Worker (Clinical)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
ALEXIS SAWYER LLPC
Counselor (Mental Health)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
AMANDA CAMPBELL-SCHNEEBERGER
Psychologist (Clinical)
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125
BLUE WATER MENTAL HEALTH CLINIC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1501 KRAFFT RD
FORT GRATIOT, MI 48059
St. Clair County (810) 985-5125

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 Philomena Kurzawe-breault's NPI number?

The NPI number for Philomena Kurzawe-breault is 1679105126. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Philomena Kurzawe-breault located?

Philomena Kurzawe-breault practices at 1501 Krafft Rd, Fort Gratiot, MI 48059. The listed phone number is (810) 985-5125.

What is Philomena Kurzawe-breault's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Philomena Kurzawe-breault was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.