BRANDON DESHAUN KELLUM
NPI 1316598667
Counselor - Mental Health in Brooklyn, NY
Active since September 26, 2019
About Brandon Deshaun Kellum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON DESHAUN KELLUM (NPI 1316598667) is an individual mental health provider in Brooklyn, New York and active in the NPI registry since September 2019.
NPPES Registry Identity
NPI1316598667
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRANDON DESHAUN KELLUM
Location Address2233 NOSTRAND AVE STE 3Brooklyn, NY 11210-3029
Mailing Address2025 Nostrand Ave Apt 2fBrooklyn, NY 11210-2549
Phone(718) 258-1714
Sole ProprietorYes
Enumeration DateSeptember 26, 2019
✔ NPI 1316598667 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2233 NOSTRAND AVE STE 3, Brooklyn, NY 11210
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316598667, enumerated as an "individual" on September 26, 2019.
The provider is located at 2233 NOSTRAND AVE STE 3 BROOKLYN, NY 11210 and the phone number is (718) 258-1714.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.