Provider Demographics
NPI:1891247870
Name:DILL, BRANDON (MA/EDS, RMHCI)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:DILL
Suffix:
Gender:M
Credentials:MA/EDS, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 W MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29341-2350
Mailing Address - Country:US
Mailing Address - Phone:864-494-8473
Mailing Address - Fax:
Practice Address - Street 1:1035 S STATE ROAD 7 STE 315
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6137
Practice Address - Country:US
Practice Address - Phone:561-571-5501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health