Provider Demographics
NPI:1982486858
Name:CURRIE, BRANDY LEE (LCSW)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:LEE
Last Name:CURRIE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19017 PARK PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32736-7282
Mailing Address - Country:US
Mailing Address - Phone:352-551-5414
Mailing Address - Fax:
Practice Address - Street 1:19017 PARK PLACE BLVD
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32736-7282
Practice Address - Country:US
Practice Address - Phone:352-551-5414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011167151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical