Brigham, Brandie
Brigham, Brandie is an sole proprietor health care provider with primary practice located at 1910 N. Lakes Place , Meridian ID 83642. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Brigham, Brandie can be contacted via phone (208) 342-2273.Contact Information
Primary practice address
1910 N. Lakes Place
Meridian ID 83642
Phone: (208) 342-2273
Fax: (208) 893-5484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCPC-2770 | Idaho |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT-2771 | Idaho |
Profile Details
| NPI number | 1942484944 |
|---|---|
| LBN Legal business name | Brigham, Brandie |
| Credentials | LCPC, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2007 |
| Last updated | Dec 27th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942484944 | NPPES |
| Idaho | Other | 000010157138 | REGENCE BLUE SHEILD |
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