Provider Demographics
NPI:1366809683
Name:TOPMILLER, BRIANNE (LCSW)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:TOPMILLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 S 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83605-4104
Mailing Address - Country:US
Mailing Address - Phone:208-454-1576
Mailing Address - Fax:208-454-9863
Practice Address - Street 1:718 S 7TH AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-4104
Practice Address - Country:US
Practice Address - Phone:208-454-1576
Practice Address - Fax:208-454-9863
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-16
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID320571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1265564397OtherCANYON COUNSELING CENTER