Brandi Campbell is a Counselor in Vienna, Illinois. Brandi Campbell practices all healthcare services and medical treatments related to Counselor. The NPI Number for Brandi Campbell is 1184822447. The last update date is 2007-07-10.
Brandi Campbell's current location address is 408 E Vine St, Vienna, Illinois. You can contact this provider via phone number 6186582611 and fax number 6186582501. The mailing address for Brandi Campbell is 408 E Vine St, Vienna, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandi Campbell |
|---|---|
| Address | 408 E Vine St, Vienna, Illinois |
| Phone Number | 6186582611 |
| Fax Number | 6186582501 |
| Sole Proprietor | N |
| Credentials | BA, MHP |
NPI Number Detail
| NPI Number | 1184822447 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 408 E Vine St |
|---|---|
| City | Vienna |
| State | Illinois (IL) |
| Post Code | 629951612 |
| Phone Number | 6186582611 |
| Fax Number | 6186582501 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code issued to Brandi Campbell by the Centers for Medicare & Medicaid Services?
The Brandi Campbell has been assigned the NPI (National Provider Identifier) 1184822447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Brandi Campbell?
The Brandi Campbell is situated at 408 E Vine St, in the city of Vienna, state of IL, with the zip code 629951612.
What is Brandi Campbell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brandi Campbell is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date did Brandi Campbell receive its 1184822447 assignment from the Centers for Medicare & Medicaid Services?
The Brandi Campbell was assigned its 1184822447 on 2007-07-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Brandi Campbell's details last updated?
The information pertaining to the Brandi Campbell, including its address, specialty, and other details, was most recently updated on 2007-07-10.