Mrs Brandy Lynn Childress, LPCC is a
Counselor - Mental Health based in Kenmare, North Dakota. Mrs Brandy Lynn Childress is licensed to practice in North Dakota (license number 986-1-1-19-423) and her current practice location is
405 3rd Ave Ne, Kenmare, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 818-4967.
NPI number for Mrs Brandy Lynn Childress is 1336424233 and her current mailing address is Po Box 1384, Minot, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336424233.
Healthcare Provider's Profile
| Full Name | Mrs Brandy Lynn Childress |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 405 3rd Ave Ne, Kenmare, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336424233
- Provider Enumeration Date: 10/12/2011
- Last Update Date: 02/10/2025
Medical Identifiers
Medical identifiers for Mrs Brandy Lynn Childress such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336424233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | PPC-941 (Wyoming) | Secondary |
| 101YP2500X | Counselor - Professional | 986-1-1-19-A (North Dakota) | Secondary |
| 101YP2500X | Counselor - Professional | 986-1-1-19 (North Dakota) | Secondary |
| 101YP2500X | Counselor - Professional | 986-1-1-19-423 (North Dakota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 986-1-1-19-423 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Brandy Lynn Childress is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Brandy Lynn Childress, LPCC
Po Box 1384,
Minot, ND 58702-1384
Ph: (701) 818-4967 | Mrs Brandy Lynn Childress, LPCC
405 3rd Ave Ne,
Kenmare, ND 58746-7425
Ph: (701) 818-4967 |
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