Brandon Assessment and Counseling Center Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

BRANDON ASSESSMENT AND COUNSELING CENTER INC

Practice address

1210 Millennium Pkwy
Suite 1030
Brandon, FL 33511-4896

Phone

(813) 654-8916

Fax

(813) 654-6952

NPI assigned

Mar 21, 2007

Last updated

Nov 10, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Enloe Bruce Billingsley, LCSW

Title

Owner President Ceo

Phone

(813) 654-8916

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1881719250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MILLENNIUM PKWY",
            "address_2": "SUITE 1030",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114896",
            "telephone_number": "813-654-8916",
            "fax_number": "813-654-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MILLENNIUM PKWY",
            "address_2": "SUITE 1030",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114896",
            "telephone_number": "813-654-8916",
            "fax_number": "813-654-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON ASSESSMENT AND COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEY",
        "authorized_official_first_name": "ENLOE",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER PRESIDENT CEO",
        "authorized_official_telephone_number": "813-654-8916",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Brandon, FL
• Providers in Brandon, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.