Individual
MRS. BRANDALYN BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3517 STONELEIGH WALK, LITHONIA, GA 30038-3291
(330) 397-8870
Mailing address
4136 NEW RD, YOUNGSTOWN, OH 44515-4631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1000484
OH
101YM0800X
Mental Health Counselor
Primary
E.1801001
OH
101YP2500X
Professional Counselor
C.1000484
OH
106H00000X
Marriage & Family Therapist
C.1000484
OH
Other
Enumeration date
04/09/2014
Last updated
04/09/2026
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