Individual
BRANDY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RMHCI
Contact information
Practice address
1400 DUNLAWTON AVE, PORT ORANGE, FL 32127-8952
(386) 259-7197
Mailing address
5109 TAYLOR AVE, PORT ORANGE, FL 32127-5425
(386) 259-7197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH26621
FL
Other
Enumeration date
11/08/2025
Last updated
11/08/2025
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