MEDICARE: BRANDIS MCFARLAND MA, LMHC MENTAL HEALTH COUNSELING PLLC

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	261Q00000X	Clinic/Center	00894	IA

General Provider Information

NPI Number	:	1528573235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRANDIS MCFARLAND MA, LMHC MENTAL HEALTH COUNSELING PLLC

Provider Business Mailing Address
First Line	:	700 16TH ST NE STE 304
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-4665
Country	:	US
Telephone Number	:	319-364-4135
Fax Number	:	319-366-5959

Provider Business Practice Location Address
First Line	:	700 16TH ST NE STE 304
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-4665
Country	:	US
Telephone Number	:	319-364-4135
Fax Number	:	319-366-6959

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	BRANDIS ELAINE MCFARLAND
Credential	:	MA, LMHC
Telephone Number	:	319-364-4135

Provider Enumeration Date	:	12/05/2017
Last Update Date	:	06/20/2018

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