Provider Demographics
NPI:1609367796
Name:BRANDSYNC BENEFIT CORPORATION
Entity Type:Organization
Organization Name:BRANDSYNC BENEFIT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:804-314-2180
Mailing Address - Street 1:4210 NEW KENT AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-3339
Mailing Address - Country:US
Mailing Address - Phone:804-314-2180
Mailing Address - Fax:804-237-0198
Practice Address - Street 1:9327 MIDLOTHIAN TPKE STE 2A
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4944
Practice Address - Country:US
Practice Address - Phone:804-314-2180
Practice Address - Fax:804-237-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904002765251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health