Brandt, Brenda
Brandt, Brenda is an sole proprietor health care provider with primary practice located at 1204 Mechem Dr Ste 6 , Ruidoso NM 88345-7207. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brandt, Brenda can be contacted via phone (575) 258-8605.Contact Information
Primary practice address
1204 Mechem Dr Ste 6
Ruidoso NM 88345-7207
Phone: (575) 258-8605
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0093431 | New Mexico |
Profile Details
NPI number | 1245249580 |
---|---|
LBN Legal business name | Brandt, Brenda |
Credentials | LPCC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 5th, 2006 |
Last updated | Jan 31st, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245249580 | NPPES |
New Mexico | MEDICAID | 50324012 |
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