Provider Demographics
NPI:1811436538
Name:WINKELMAN, BRANDI (MFT)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:WINKELMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27475 HOLIDAY LN STE 2
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-3350
Mailing Address - Country:US
Mailing Address - Phone:419-872-0619
Mailing Address - Fax:419-872-2466
Practice Address - Street 1:27475 HOLIDAY LN STE 2
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-3350
Practice Address - Country:US
Practice Address - Phone:419-872-0619
Practice Address - Fax:419-872-2466
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHM.1700007106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist