Provider Demographics
NPI:1205385663
Name:BUCHANAN, BRENDA (LPCC-S)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 TRANSPORTATION BLVD
Mailing Address - Street 2:#4
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-5380
Mailing Address - Country:US
Mailing Address - Phone:216-663-6100
Mailing Address - Fax:
Practice Address - Street 1:5410 TRANSPORTATION BLVD
Practice Address - Street 2:#4
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-5380
Practice Address - Country:US
Practice Address - Phone:216-663-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional