Provider Demographics
NPI:1043246408
Name:BRANTLEY, HELEN T (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:T
Last Name:BRANTLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:T
Other - Last Name:BRANTLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD PLLC
Mailing Address - Street 1:109 CONNER DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7039
Mailing Address - Country:US
Mailing Address - Phone:919-933-0273
Mailing Address - Fax:
Practice Address - Street 1:109 CONNER DR
Practice Address - Street 2:SUITE 204
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7039
Practice Address - Country:US
Practice Address - Phone:919-933-0273
Practice Address - Fax:919-240-5922
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0560103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical