Provider Demographics
NPI:1295042612
Name:PEOPLES, BRANDY NICHOLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:NICHOLE
Last Name:PEOPLES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9265 MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:TALALA
Mailing Address - State:OK
Mailing Address - Zip Code:74080-9588
Mailing Address - Country:US
Mailing Address - Phone:918-695-2059
Mailing Address - Fax:
Practice Address - Street 1:9265 MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:TALALA
Practice Address - State:OK
Practice Address - Zip Code:74080-9588
Practice Address - Country:US
Practice Address - Phone:918-695-2059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor