Provider Demographics
NPI:1609028927
Name:STINNETT, BRANDI CREASY (LPC)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:CREASY
Last Name:STINNETT
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 1:104A HOMESTEAD DRIVE
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-4041
Mailing Address - Country:US
Mailing Address - Phone:434-610-0921
Mailing Address - Fax:434-316-0026
Practice Address - Street 1:104A HOMESTEAD DRIVE
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-4041
Practice Address - Country:US
Practice Address - Phone:434-610-0921
Practice Address - Fax:434-316-0026
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-17
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003732101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional