Provider Demographics
NPI:1669019022
Name:VANCIL, BRANDY LEE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:LEE
Last Name:VANCIL
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 1:7126 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2027
Mailing Address - Country:US
Mailing Address - Phone:731-234-4035
Mailing Address - Fax:
Practice Address - Street 1:517 LEESVILLE RD STE 203
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2349
Practice Address - Country:US
Practice Address - Phone:434-515-0827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008570101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health