Organization
BRAIN CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY LOPEZ (MANAGER)
(815) 276-4976
Entity
Organization
Contact information
Practice address
71 GOLF CLUB DR, KEY WEST, FL 33040-4382
(630) 649-2819
Mailing address
71 GOLF CLUB DR, KEY WEST, FL 33040-4382
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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