Provider Demographics
NPI:1265121982
Name:MCNEELY, BRANDI (LGSW)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:MCNEELY
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-2519
Mailing Address - Country:US
Mailing Address - Phone:205-746-9225
Mailing Address - Fax:
Practice Address - Street 1:300 JUDGE HARVEY LANE
Practice Address - Street 2:
Practice Address - City:DUBAR
Practice Address - State:WV
Practice Address - Zip Code:25064
Practice Address - Country:US
Practice Address - Phone:681-339-0826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor