Provider Demographics
NPI:1467647065
Name:MCMANIGAL, BRANDI L (LMHP, LIMHP, NCC)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:L
Last Name:MCMANIGAL
Suffix:
Gender:F
Credentials:LMHP, LIMHP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12012 ROBERTS RD STE C
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-5591
Mailing Address - Country:US
Mailing Address - Phone:402-800-3787
Mailing Address - Fax:402-397-1404
Practice Address - Street 1:12012 ROBERTS RD STE C
Practice Address - Street 2:
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-5591
Practice Address - Country:US
Practice Address - Phone:402-800-3787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3718101YM0800X
NE838101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health