Provider Demographics
NPI:1932636255
Name:COLLINS, BRANDI LYNN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:LYNN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SAINT LANDRY ST # 100L
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-4630
Mailing Address - Country:US
Mailing Address - Phone:337-210-5145
Mailing Address - Fax:337-210-5150
Practice Address - Street 1:700 SAINT LANDRY ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4630
Practice Address - Country:US
Practice Address - Phone:337-210-5145
Practice Address - Fax:337-210-5150
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7342101YP2500X, 101YM0800X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator