Provider Demographics
NPI:1386764181
Name:CROTTS, BRANDY (MA)
Entity type:Individual
Prefix:MS
First Name:BRANDY
Middle Name:
Last Name:CROTTS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 BATTLEGROUND AVE APT 193
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8403
Mailing Address - Country:US
Mailing Address - Phone:828-443-4176
Mailing Address - Fax:
Practice Address - Street 1:7900 TRIAD CENTER DR STE 350
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-9086
Practice Address - Country:US
Practice Address - Phone:336-931-1807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health