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General NPI Number Information
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NPI Number | 1841170941
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Entity Type | Organization
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Legal Business Name | BRANDT WELLNESS, LLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 111 TUMWATER BLVD SE STE C212
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City | TUMWATER
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State | WA
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Zip | 98501-6400
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Country | US
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Telephone | 360-359-2253
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Fax | 206-222-6968
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Provider Business Mailing Address
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Address Line | 111 TUMWATER BLVD SE STE C212
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City | TUMWATER
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State | WA
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Zip | 98501-6400
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Country | US
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Telephone | 360-359-2253
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Fax | 206-222-6968
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | VALERIE MARIE BRANDT
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Credential | ARNP
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Telephone | 360-359-2253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | NULL
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