Doctor Name: | MRS. LENZIE BEASLEY BRANT |
NPI Number: | 1205246550 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 916 Reynolds Road Barnwell, SC - 29812 |
Business Phone Number: | 8032597170 |
Business Fax Number: | 8032592934 |
Mailing Address: | 916 Reynolds Road, BARNWELL |
State: | SC |
Postal Code: | 29812 |
Phone Number: | 8032597170 |
Fax Number: | 8032592934 |
NPI Enumeration Date: | 05/07/2014 |
NPI Last Update Date: | 05/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |