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General NPI Number Information
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NPI Number | 1265853956
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Entity Type | Individual
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Provider Name | BRANDY MOSS CARLSON LICSW-S, RPT-S
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Gender | Female
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Dates
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Enumeration Date | 12/23/2013
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 1523 4TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1612
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Country | US
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Telephone | 205-638-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 512 MEADOW RIDGE CIR
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City | BIRMINGHAM
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State | AL
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Zip | 35242-2978
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Country | US
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Telephone | 972-839-6262
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4387C
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License Number State | AL
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