Provider Demographics
NPI:1205565298
Name:BRINKLEY, BRANDY MICHELLE (MA, LPC)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:MICHELLE
Last Name:BRINKLEY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 COVENT GARDEN PL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-8723
Mailing Address - Country:US
Mailing Address - Phone:214-810-2550
Mailing Address - Fax:
Practice Address - Street 1:729 COVENT GARDEN PL
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-8723
Practice Address - Country:US
Practice Address - Phone:214-810-2550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80653101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health