Mann, Brendon Davis

Mann, Brendon Davis is an individual health care provider with primary practice located at 409 S Oakland St , Gastonia NC 28052-4312. He 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 his primary health care specialty. Mann, Brendon Davis can be contacted via phone (704) 874-9005.

Contact Information

Primary practice address
409 S Oakland St Gastonia NC 28052-4312
Phone: (704) 874-9005
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4927 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 4927 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4927 North Carolina

Profile Details

NPI number 1447320809
LBN Legal business name Mann, Brendon Davis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Oct 21st, 2019 - about 5 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 1447320809 NPPES
North Carolina MEDICAID 6102757

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