Crotty, Brandon M

Crotty, Brandon M is an individual health care provider with primary practice located at 2101 Park Center Drive Suite 270, Orlando FL 32835. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Crotty, Brandon M can be contacted via phone (407) 523-1213.

Contact Information

Primary practice address
2101 Park Center Drive Suite 270 Orlando FL 32835
Phone: (407) 523-1213
Fax: (407) 523-2398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2588L Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH7161 Florida

Profile Details

NPI number 1790862373
LBN Legal business name Crotty, Brandon M
Credentials LMHC LAP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790862373 NPPES
Other Z031H BCBS

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