MEDICARE: BRANDON MCNEILLY M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	8581	TN

General Provider Information

NPI Number	:	1396678025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON MCNEILLY M.A.

Provider Business Mailing Address
First Line	:	325 EBENEZER RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-5310
Country	:	US
Telephone Number	:	865-670-0988
Fax Number	:	865-670-1991

Provider Business Practice Location Address
First Line	:	6708 ALBUNDA DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-4803
Country	:	US
Telephone Number	:	865-670-0988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ BRANDON MCNEILLY M.A.” Practice Location

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