Brandon Holt, LMFT
Individual provider Active NPI Marriage & Family Therapist · Cleveland, TN
NPI 1497369508 · NPPES record last updated Sep 29, 2020
Key facts
- NPI
- 1497369508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1693 (TN)
- Practice address
- 2700 Westside Dr NW Ste 200
Cleveland, TN 37312-3699 - Phone
- (423) 479-8530
- NPI assigned
- Sep 4, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1693 | TN | Yes |
Addresses
Primary practice location
2700 Westside Dr NW Ste 200
Cleveland, TN 37312-3699
Mailing address
2700 Westside Dr NW Ste 200
Cleveland, TN 37312-3699
Other providers in Cleveland, TN
- Samantha Danyell Holcomb
- Ashley Nicole Holland
- Ashley R Holland
- William A Holland Jr.
- Cammy Shawn Holmes
- Julie A Holt
- Home Health Care of East Tennessee, Inc.
- Home Health Care of East Tennessee, Inc.
- Home Health Care of East Tennessee, Inc.
- Julie Ann Hook
All providers in Cleveland, TN · Marriage & Family Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2020. 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.