Provider Demographics
NPI:1033429642
Name:COTTEN, BRANDI TAYLOR (QP, MS, CRC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:TAYLOR
Last Name:COTTEN
Suffix:
Gender:F
Credentials:QP, MS, CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 S CHURCH ST
Mailing Address - Street 2:SUITE 506
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5390
Mailing Address - Country:US
Mailing Address - Phone:336-261-1200
Mailing Address - Fax:336-261-1201
Practice Address - Street 1:2260 S CHURCH ST
Practice Address - Street 2:SUITE 506
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5390
Practice Address - Country:US
Practice Address - Phone:336-261-1200
Practice Address - Fax:336-261-1201
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8136101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health