Childress, Brandy Lynn

Childress, Brandy Lynn is an sole proprietor health care provider with primary practice located at 24 Main St N Ste A , Minot ND 58703-3104. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Childress, Brandy Lynn can be contacted via phone (701) 557-3782.

Contact Information

Primary practice address
24 Main St N Ste A Minot ND 58703-3104
Phone: (701) 557-3782
Fax: (651) 925-0057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X PPC-941 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X 986-1-1-19-A North Dakota
Behavioral Health & Social Service Providers / Professional 101YP2500X 986-1-1-19 North Dakota
Behavioral Health & Social Service Providers / Professional 101YP2500X 986-1-1-19-423 North Dakota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 986-1-1-19-423 North Dakota

Profile Details

NPI number 1336424233
LBN Legal business name Childress, Brandy Lynn
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2011
Last updated Sep 3rd, 2022 - about 4 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.

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