Ms. J. Phyllis Brannen
Addiction Counselor (Substance Use Disorder) Clinical Social Worker
1503 Pine St
Melbourne
, Florida 32901-3120
Ms. J. Phyllis Brannen
Addiction Counselor (Substance Use Disorder) Clinical Social Worker
1503 Pine St
Melbourne
, Florida 32901-3120
(321) 953-3252
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Ms. J. Phyllis Brannen
- 146 San Juan Cir
- Melbourne, FL
- Zip : 32935-5419
- Fax : (321) 953-3252
- Phone : (321) 255-5426
Second Address
- Ms. J. Phyllis Brannen
- 1503 Pine St
- Melbourne, FL
- Zip : 32901-3120
- Fax : (321) 953-3252
- Phone : (321) 953-3225
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CAP 2553 | FL |
| Y | 1041C0700X | Clinical Social Worker | SW6239 | FL |
National Provider Identifier
| NPI | 1003993874 |
|---|---|
| Provider Name | Ms. J. Phyllis Brannen |
| First Address | Melbourne, FL 32935-5419 |
| Second Address | Melbourne, FL 32901-3120 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 26/11/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.