Kathy Brandt, LPC | |
2400 Meadowlane Dr, Granite City, IL 62040-7112 | |
(618) 797-0493 | |
Not Available |
Full Name | Kathy Brandt |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2400 Meadowlane Dr, Granite City, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225728280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2016040333 (Missouri) | Primary |
Entity Name | Shiny Triangle Lcsw Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164175105 PECOS PAC ID: 1254727480 Enrollment ID: O20231113003021 |
Mailing Address | Practice Location Address |
---|---|
Kathy Brandt, LPC 2400 Meadowlane Dr, Granite City, IL 62040-7112 Ph: (618) 610-5845 | Kathy Brandt, LPC 2400 Meadowlane Dr, Granite City, IL 62040-7112 Ph: (618) 797-0493 |
Kristle Kapp, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 Fax: 618-877-9250 | |
Jillian Mccammack, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 | |
Ms. Stacy R Dierks, BA, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 | |
Kathryn Steely, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4000 State Route 111, Granite City, IL 62040 Phone: 314-282-5835 | |
Mr. James Aaron Shultz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 | |
Lainie Joy Barron, Counselor Medicare: Medicare Enrolled Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 |