Provider Demographics
NPI:1760823017
Name:BRINDLE, ERIN MARIE (ATR-BC, LPC)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:MARIE
Last Name:BRINDLE
Suffix:
Gender:F
Credentials:ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 STAMPEDE AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-4818
Mailing Address - Country:US
Mailing Address - Phone:307-899-6810
Mailing Address - Fax:
Practice Address - Street 1:1701 STAMPEDE AVE STE 206
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-4818
Practice Address - Country:US
Practice Address - Phone:307-899-6810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC-14200101YP2500X
DC08-170174400000X
WYLPC-1940101YP2500X
DCPRC14200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No174400000XOther Service ProvidersSpecialist