Provider Demographics
NPI:1649985029
Name:PLEASANT, BRANDI N
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:N
Last Name:PLEASANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17541 MEMORIAL TOURNAMENT DR
Mailing Address - Street 2:
Mailing Address - City:MOSELEY
Mailing Address - State:VA
Mailing Address - Zip Code:23120-1768
Mailing Address - Country:US
Mailing Address - Phone:804-617-8467
Mailing Address - Fax:
Practice Address - Street 1:17541 MEMORIAL TOURNAMENT DR
Practice Address - Street 2:
Practice Address - City:MOSELEY
Practice Address - State:VA
Practice Address - Zip Code:23120-1768
Practice Address - Country:US
Practice Address - Phone:804-617-8467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management