Provider Demographics
NPI:1639514821
Name:WILLIAMS, BRANDY R (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:R
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 PALOMBA DR UNIT 608
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-9994
Mailing Address - Country:US
Mailing Address - Phone:860-729-9057
Mailing Address - Fax:
Practice Address - Street 1:11 NELSON DR
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-6105
Practice Address - Country:US
Practice Address - Phone:860-729-9057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist