Provider Demographics
NPI:1528573235
Name:BRANDIS MCFARLAND MA, LMHC MENTAL HEALTH COUNSELING PLLC
Entity Type:Organization
Organization Name:BRANDIS MCFARLAND MA, LMHC MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRANDIS
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:319-364-4135
Mailing Address - Street 1:700 16TH ST NE STE 304
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-4665
Mailing Address - Country:US
Mailing Address - Phone:319-364-4135
Mailing Address - Fax:319-366-5959
Practice Address - Street 1:700 16TH ST NE STE 304
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-4665
Practice Address - Country:US
Practice Address - Phone:319-364-4135
Practice Address - Fax:319-366-6959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00894261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA=========OtherIOWA
IA=========Medicaid