Provider Demographics
NPI:1285244558
Name:BURNS, BRANDON WESLEY (LMHC)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:WESLEY
Last Name:BURNS
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 W BAKER ST
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-4904
Mailing Address - Country:US
Mailing Address - Phone:859-420-9302
Mailing Address - Fax:
Practice Address - Street 1:270 W BAKER ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-4904
Practice Address - Country:US
Practice Address - Phone:859-420-9302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39004235A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health