Individual provider · Type 1 NPI
Iyea Brandy
Mental Health Counselor · College Park, GA
NPI number
1417578071
Active
Practice location
1903 Phoenix Blvd
College Park, GA 30349-5754
Mailing address
1886 Logan Ridge Cir
Loganville, GA 30052-8173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 007362 (GA) |
| Mental Health Counselor Primary | 101YM0800X | 007362 (GA) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1417578071
Iyea Brandy's National Provider Identifier is 1417578071, issued on May 5, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in College Park, GA. The record was last updated on May 5, 2020.