Provider Demographics
NPI:1245571918
Name:HAMLIN, BRANDI JEAN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:JEAN
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:JEAN
Other - Last Name:MUCHOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2076 MEADOWLANE AVE
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-4950
Mailing Address - Country:US
Mailing Address - Phone:321-499-4605
Mailing Address - Fax:
Practice Address - Street 1:2076 MEADOWLANE AVE
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-4950
Practice Address - Country:US
Practice Address - Phone:321-499-4605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11605101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health