Provider Demographics
NPI:1104530070
Name:HUNTER-GRINBANK, BRANDIE MARIE (MSC-SC, LPCC)
Entity type:Individual
Prefix:
First Name:BRANDIE
Middle Name:MARIE
Last Name:HUNTER-GRINBANK
Suffix:
Gender:F
Credentials:MSC-SC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2000
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80444-2000
Mailing Address - Country:US
Mailing Address - Phone:303-425-0300
Mailing Address - Fax:
Practice Address - Street 1:405 ARGENTINE ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:CO
Practice Address - Zip Code:80444-5051
Practice Address - Country:US
Practice Address - Phone:303-425-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health