Provider Demographics
NPI:1952746976
Name:MCGRANE, BREE VIOLET (MA)
Entity Type:Individual
Prefix:
First Name:BREE
Middle Name:VIOLET
Last Name:MCGRANE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 FINE LN
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-6006
Mailing Address - Country:US
Mailing Address - Phone:865-978-1937
Mailing Address - Fax:
Practice Address - Street 1:1517 E ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-5485
Practice Address - Country:US
Practice Address - Phone:423-839-2550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional