| Doctor Name: | MS. COLETTE BRANTLEY |
| NPI Number: | 1013316512 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | 44SL05773100 |
| Business Practice Address: | 642 Eagle Rock Ave Suite 6 West Orange, NJ - 070522954 |
| Business Phone Number: | 8627046391 |
| Business Fax Number: | 8627046392 |
| Mailing Address: | 185 East Palisade Avenue, A2b ENGLEWOOD |
| State: | NJ |
| Postal Code: | 076313151 |
| Phone Number: | 2018191568 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2014 |
| NPI Last Update Date: | 08/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SL05773100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |