Healthcare Provider Details
I. General information
NPI: 1528558848
Provider Name (Legal Business Name): RACHEL BRANNAN MS, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/11/2018
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5401 W 10TH ST STE 200
GREELEY CO
80634-4468
US
IV. Provider business mailing address
5401 W 10TH ST STE 200
GREELEY CO
80634-4468
US
V. Phone/Fax
- Phone: 970-310-3406
- Fax:
- Phone: 970-310-3406
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | LPCC.0015983 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: