Brandt, Debra

Brandt, Debra is an sole proprietor health care provider with primary practice located at 595 W Granada Blvd Ste H, Ormond Beach FL 32174-5182. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brandt, Debra can be contacted via phone (386) 673-9800.

Contact Information

Primary practice address
595 W Granada Blvd Ste H Ormond Beach FL 32174-5182
Fax: (386) 673-1111
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW2761 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW2761 Florida

Profile Details

NPI number 1982609277
LBN Legal business name Brandt, Debra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers