BRENDA BRANDT


Address: 1204 Mechem Dr Ste 6, Ruidoso, NM 88345-7207
Phone: 5752588605

BRENDA BRANDT (NPI# 1245249580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245249580
Entity Type Individual
Full Name BRENDA BRANDT
Credential LPCC
Practice Address 1204 Mechem Dr Ste 6
Ruidoso
NM 88345-7207
Practice Telephone 5752588605
Mailing Telephone 5752588605
Enumeration Date 2006-08-05
Last Update Date 2008-01-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
0093431 NM Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 50324012 05

Office Location

Street Address 1204 MECHEM DR STE 6
City RUIDOSO
State NM
Zip Code 88345-7207

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295386373 Angela Louise Chavez Physical Therapy Assistant 143 El Paseo Road, Ruidoso, NM 88345 2019-09-20
1740744630 Aspen Creek Counseling, PC Community/Behavioral Health 212 Hidalgo St, Ruidoso, NM 88345 2019-01-25
1659729960 Clinical Counseling, Rebekah Stephens LLC Community/Behavioral Health 105 Socorro Circle, Ruidoso, NM 88345 2016-05-26
1013288208 Emily Jane Fleming Counselor 2904 Sudderth Dr, Ruidoso, NM 88345 2012-01-19
1376810572 Ronald Lee Annala Specialist 101 Annala Lane, Ruidoso, NM 88345 2011-11-17
1801171731 Felicia Yelena Fontenot Dentist 127 El Paso Road, Ruidoso, NM 88345 2011-10-11
1497072730 Richard G Leveque Counselor 206 Porr Dirve, Ruidoso, NM 88345 2010-04-27
1871827899 Delcia Maurice Gudgel Counselor 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 2009-09-23
1740413541 Yolanda Nelson Case Manager/Care Coordinator 208 Sudderth Dr, Ruidoso, NM 88345 2009-08-26
1164697280 Elizabeth Urban Candelaria Social Worker 1400 Sudderth Dr., Ruidoso, NM 88345 2008-04-29
Find all providers in zip 88345

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508321555 Ashlee Mcewen Counselor 125 Warrior Dr, Ruidoso, NM 88345-6026 2019-02-04
1467949834 Hilary Anne Gunby Counselor 200 Mechem Dr Unit 4, Ruidoso, NM 88345-6808 2018-04-20
1134629058 Malott Counseling Services Counselor 1096 Mechem Dr Ste 212, Ruidoso, NM 88345-7068 2018-02-16
1013288208 Emily Jane Fleming Counselor 2904 Sudderth Dr, Ruidoso, NM 88345 2012-01-19
1497072730 Richard G Leveque Counselor 206 Porr Dirve, Ruidoso, NM 88345 2010-04-27
1235393182 Susan Margaret Messal Counselor 2904 Sudderth Dr Ste B, Ruidoso, NM 88345-6338 2008-07-10
1427279959 Kamerin Stclaire Counselor 159 Mescalero Trail Unit 8, Ruidoso, NM 88345 2007-05-01
1417968165 Julie Wilkinson Counselor 206 Sudderth Dr, Ruidoso, NM 88345-6001 2006-08-10
1619913597 Diane D Harmon Counselor 1096 Mechem, Suite 212, Ruidoso, NM 88345-7067 2006-06-21
1770941486 Sierra Blanca Counseling Counselor 2904 Sudderth Dr, Ruidoso, NM 88345-6338 2016-02-09
Find all providers in RUIDOSO

Competitor

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City RUIDOSO
Zip Code 88345

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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