Brantley, Mandy Lyn
Brantley, Mandy Lyn is an sole proprietor health care provider with primary practice located at 1508 Birchwood , Cape Girardeau MO 63701-2964. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brantley, Mandy Lyn can be contacted via phone (314) 780-6286.Contact Information
Primary practice address
1508 Birchwood
Cape Girardeau MO 63701-2964
Phone: (314) 780-6286
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2002027571 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 52647 | Texas |
Profile Details
| NPI number | 1801067764 |
|---|---|
| LBN Legal business name | Brantley, Mandy Lyn |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2008 |
| Last updated | Dec 14th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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