Healthcare Provider Details

I. General information

NPI: 1245158260
Provider Name (Legal Business Name): KATHRYN BRANNAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

867 W BLOOMINGDALE AVE UNIT 6184
BRANDON FL
33508-7009
US

IV. Provider business mailing address

867 W BLOOMINGDALE AVE UNIT 6184
BRANDON FL
33508-7009
US

V. Phone/Fax

Practice location:
  • Phone: 813-397-8892
  • Fax:
Mailing address:
  • Phone: 813-397-8892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27518
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: