Individual
BRANDI MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6210 BASELINE RD, LITTLE ROCK, AR 72209-4728
(501) 265-0302
(501) 265-0300
Mailing address
6210 BASELINE RD, LITTLE ROCK, AR 72209-4728
(501) 265-0302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
4884-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180635526
—
AR
05
—
236900526
—
AR
Enumeration date
06/10/2009
Last updated
11/16/2021
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