Provider Demographics
NPI:1487348116
Name:ARNOLD, BRANDI A (LPC)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:A
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:A
Other - Last Name:BENTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10632 W EXCALIBUR ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-5180
Mailing Address - Country:US
Mailing Address - Phone:208-447-7589
Mailing Address - Fax:
Practice Address - Street 1:10632 W EXCALIBUR ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-5180
Practice Address - Country:US
Practice Address - Phone:208-447-7589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-9559101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health