Provider Demographics
NPI:1295014926
Name:BRAND, NATALIE JENEAN
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:JENEAN
Last Name:BRAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3362 BIG PINE TRL STE A
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822-1409
Mailing Address - Country:US
Mailing Address - Phone:217-383-0151
Mailing Address - Fax:217-633-4555
Practice Address - Street 1:3362 BIG PINE TRL STE A
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61822-1409
Practice Address - Country:US
Practice Address - Phone:217-383-0151
Practice Address - Fax:217-633-4555
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.1184311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical