Provider Demographics
NPI:1851002810
Name:PALMER, BRANDI (LPCA, LISW)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:PALMER
Suffix:
Gender:F
Credentials:LPCA, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 FARROW POINTE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-8931
Mailing Address - Country:US
Mailing Address - Phone:803-467-4262
Mailing Address - Fax:
Practice Address - Street 1:6 CALENDAR CT STE 4
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-4715
Practice Address - Country:US
Practice Address - Phone:803-753-1593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7846101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor