BREANNA RENAY BURGE BSSW, LSW
NPI 1679151468
Counselor in Marion, OH

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since April 01, 2021

827 N MAIN ST, MARION, OH 43302(740) 914-5000 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Breanna Renay Burge Bssw, Lsw NPPES

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

BREANNA RENAY BURGE BSSW, LSW (NPI 1679151468) is an individual counselor in Marion, Ohio, licensed in Ohio (S.1904431) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1679151468

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameBREANNA RENAY BURGECredential: BSSW, LSW

Location Address827 N MAIN STMarion, OH 43302-1736

Mailing Address827 N Main StMarion, OH 43302-1736 · (740) 914-5000

Phone(740) 914-5000

Sole ProprietorNo

Enumeration DateApril 1, 2021

NPPES CertifiedMarch 31, 2021

✔ NPI 1679151468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · S.1904431

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.

827 N MAIN ST, Marion, OH 43302

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