Individual
BRANDI D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6667 VERNON WOODS DR # A-20, ATLANTA, GA 30328-3215
(404) 390-1322
Mailing address
360 WINDING RIVER DR UNIT B, ATLANTA, GA 30350-1937
(044) 390-1322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY004223
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003210870A
—
GA
05
—
110026265E
—
MA
Enumeration date
08/18/2016
Last updated
07/29/2020
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