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General NPI Number Information
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NPI Number | 1912850991
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Entity Type | Organization
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Legal Business Name | HEALINGWITHBRANDAIS LLC
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 123 HAMPDEN DRIVE APT J
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City | MOUNTVILLE
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State | PA
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Zip | 17554
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Country | US
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Telephone | 301-519-1021
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Fax |
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Provider Business Mailing Address
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Address Line | 30 S 15TH ST STE 1550
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City | PHILADELPHIA
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State | PA
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Zip | 19102-4806
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | BRANDAIS QUAY GARY
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Credential | LPC
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Telephone | 302-468-7269
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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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