Provider Demographics
NPI:1083314132
Name:BRANDON LIU, LMFT, PLLC
Entity Type:Organization
Organization Name:BRANDON LIU, LMFT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:312-219-3086
Mailing Address - Street 1:3476 S ARCHER AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-7050
Mailing Address - Country:US
Mailing Address - Phone:312-219-3086
Mailing Address - Fax:
Practice Address - Street 1:3476 S ARCHER AVE APT 3
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-7050
Practice Address - Country:US
Practice Address - Phone:312-219-3086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty