Brandi McNeely, LGSW
Individual provider Active NPI Counselor · Dubar, WV
NPI 1265121982 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1265121982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 300 Judge Harvey Lane
Dubar, WV 25064 - Phone
- (681) 339-0826
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
300 Judge Harvey Lane
Dubar, WV 25064
Mailing address
907 Meadow Dr
South Charleston, WV 25309-2519
Phone (205) 746-9225
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.