Provider Demographics
NPI:1255634812
Name:LIANG, BRANDY MARIE (LMSW)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:MARIE
Last Name:LIANG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:MARIE
Other - Last Name:GRIFFORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6345 OAKALLA DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-9582
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:33505 SCHOOLCRAFT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1630
Practice Address - Country:US
Practice Address - Phone:734-721-0200
Practice Address - Fax:734-793-0033
Is Sole Proprietor?:No
Enumeration Date:2010-12-20
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010924101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical