Provider Demographics
NPI:1700648029
Name:PEEK, BRIANNA (MSW, RCSWI)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:PEEK
Suffix:
Gender:F
Credentials:MSW, RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 S BLAIR STONE RD APT 716
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-6991
Mailing Address - Country:US
Mailing Address - Phone:321-431-1071
Mailing Address - Fax:
Practice Address - Street 1:3501 S BLAIR STONE RD APT 716
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-6991
Practice Address - Country:US
Practice Address - Phone:321-431-1071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW173431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical