Provider Demographics
NPI:1538048459
Name:POTTER, BRIANNA D (LMHC)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:D
Last Name:POTTER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:D
Other - Last Name:QUIGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:124 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677-1762
Mailing Address - Country:US
Mailing Address - Phone:319-344-4994
Mailing Address - Fax:
Practice Address - Street 1:124 2ND ST NE
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:IA
Practice Address - Zip Code:50677-1762
Practice Address - Country:US
Practice Address - Phone:319-344-4994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA118289101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor