Provider Demographics
NPI:1790918548
Name:REEVES, BRANDI BRADSHAW (LPC, CAP, LMHP)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:BRADSHAW
Last Name:REEVES
Suffix:
Gender:F
Credentials:LPC, CAP, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WESTSIDE DR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-1908
Mailing Address - Country:US
Mailing Address - Phone:334-793-7237
Mailing Address - Fax:334-712-6256
Practice Address - Street 1:100 WESTSIDE DR.
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AK
Practice Address - Zip Code:36303
Practice Address - Country:US
Practice Address - Phone:334-793-7237
Practice Address - Fax:334-712-6256
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2760101YA0400X
FL50624101YM0800X
AL2252101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health