Provider Demographics
NPI:1437188695
Name:MACPHAIL, BRENT (LMHC)
Entity Type:Individual
Prefix:MR
First Name:BRENT
Middle Name:
Last Name:MACPHAIL
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 S BISCAYNE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-1932
Mailing Address - Country:US
Mailing Address - Phone:941-993-6098
Mailing Address - Fax:941-426-9147
Practice Address - Street 1:5400 S BISCAYNE DR
Practice Address - Street 2:SUITE A
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-1932
Practice Address - Country:US
Practice Address - Phone:941-993-6098
Practice Address - Fax:941-426-9147
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health