Healthcare Provider Details

I. General information

NPI: 1063069516
Provider Name (Legal Business Name): BRANDI L ALKIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 CHIMNEY DR
BUNKER HILL WV
25413-3171
US

IV. Provider business mailing address

PO BOX 71
BUNKER HILL WV
25413-0071
US

V. Phone/Fax

Practice location:
  • Phone: 304-620-5512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number25103
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberDP00947510
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: