Provider Demographics
NPI:1295464048
Name:MONAHAN, BRIANNE MARIE (BA)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:MARIE
Last Name:MONAHAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PIEDMONT LN
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:VA
Mailing Address - Zip Code:22963-2129
Mailing Address - Country:US
Mailing Address - Phone:434-962-8912
Mailing Address - Fax:
Practice Address - Street 1:800 E HIGH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5126
Practice Address - Country:US
Practice Address - Phone:434-962-8912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional