Healthcare Provider Details

I. General information

NPI: 1528573235
Provider Name (Legal Business Name): BRANDIS MCFARLAND MA, LMHC MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2017
Last Update Date: 06/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 16TH ST NE STE 304
CEDAR RAPIDS IA
52402-4665
US

IV. Provider business mailing address

700 16TH ST NE STE 304
CEDAR RAPIDS IA
52402-4665
US

V. Phone/Fax

Practice location:
  • Phone: 319-364-4135
  • Fax: 319-366-6959
Mailing address:
  • Phone: 319-364-4135
  • Fax: 319-366-5959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number00894
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BRANDIS ELAINE MCFARLAND
Title or Position: OWNER/THERAPIST
Credential: MA, LMHC
Phone: 319-364-4135