Basic Information
| Provider Information | |||||||||
| NPI: | 1689090094 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCNEW | ||||||||
| FirstName: | BRANDI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 495 TAYLOR RD | ||||||||
| Address2: | |||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361173513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3342799333 | ||||||||
| FaxNumber: | 3342799057 | ||||||||
| Practice Location | |||||||||
| Address1: | 495 TAYLOR RD | ||||||||
| Address2: | |||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361173513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3342799333 | ||||||||
| FaxNumber: | 3342799057 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2014 | ||||||||
| LastUpdateDate: | 03/10/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 393 | AL | N | Behavioral Health & Social Service Providers | Counselor | 106H00000X | 393 | AL | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.