Provider Demographics
NPI:1427101260
Name:LIPPINCOTT, BRANDI D (LPC)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:D
Last Name:LIPPINCOTT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13212 FIELDSTONE RD
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-1743
Mailing Address - Country:US
Mailing Address - Phone:214-636-3718
Mailing Address - Fax:682-831-9495
Practice Address - Street 1:2501 OAK LAWN AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4090
Practice Address - Country:US
Practice Address - Phone:214-520-6268
Practice Address - Fax:214-526-6219
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18931101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health