Healthcare Provider Details

I. General information

NPI: 1467047787
Provider Name (Legal Business Name): BRANDI L HERRING LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2021
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 KANE PARK WAY
WINDERMERE FL
34786-6018
US

IV. Provider business mailing address

12000 BISCAYNE BLVD STE 702
NORTH MIAMI FL
33181-2727
US

V. Phone/Fax

Practice location:
  • Phone: 786-858-9264
  • Fax:
Mailing address:
  • Phone: 786-490-5988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number23817
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: