Doctor Name: | BRANDI NICOLE KNIGHT |
NPI Number: | 1063751451 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA/EDS, NCC, LPCA |
License Number: | A9820 |
Business Practice Address: | 913 N Carolina Ave Statesville, NC - 286773414 |
Business Phone Number: | 7048710934 |
Business Fax Number: | 7044021065 |
Mailing Address: | 400 Cherry Hill Rd, MOCKSVILLE |
State: | NC |
Postal Code: | 270286622 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/05/2013 |
NPI Last Update Date: | 07/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | A9820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |