MS. BRENDALIN A BACON M.S MENTAL HEALTH
NPI 1881259323
Counselor - Mental Health in Fort Pierce, FL

Active since May 09, 2019
4713 EL NUEVA AVE, FORT PIERCE, FL 34946(407) 256-3718 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Brendalin A Bacon M.s Mental Health NPPES

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

MS. BRENDALIN A BACON M.S MENTAL HEALTH (NPI 1881259323) is an individual mental health provider in Fort Pierce, Florida, licensed in Florida (IMH18275) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1881259323
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. BRENDALIN A BACONCredential: M.S MENTAL HEALTH
Location Address4713 EL NUEVA AVEFort Pierce, FL 34946-1035
Mailing Address4713 El Nueva AveFort Pierce, FL 34946-1035 · (407) 256-3718
Sole ProprietorNo
Enumeration DateMay 9, 2019
NPI 1881259323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · IMH18275
4713 EL NUEVA AVE, Fort Pierce, FL 34946

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 Brendalin Bacon's NPI number?

The NPI number for Brendalin Bacon is 1881259323. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Where is Brendalin Bacon located?

Brendalin Bacon practices at 4713 El Nueva Ave, Fort Pierce, FL 34946. The listed phone number is (407) 256-3718.

What is Brendalin Bacon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Brendalin Bacon was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.