Provider Demographics
NPI:1215381249
Name:PERKINS, BRIANA (LPCA)
Entity type:Individual
Prefix:MISS
First Name:BRIANA
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 CR WOOD RD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-8919
Mailing Address - Country:US
Mailing Address - Phone:980-285-8157
Mailing Address - Fax:
Practice Address - Street 1:5001 CR WOOD RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-8919
Practice Address - Country:US
Practice Address - Phone:980-285-8157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11711101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health