BRANDON MASSULLO MA/LPCC
NPI 1396936597
Counselor - Professional in Westlake, OH
Active since August 05, 2007
24500 CENTER RIDGE RD, BUILDING 4, SUITE 100, WESTLAKE, OH 44145(440) 899-1300(440) 899-0266 Get Directions Write a Review
About Brandon Massullo Ma/lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON MASSULLO MA/LPCC (NPI 1396936597) is an individual professional provider in Westlake, Ohio, licensed in Ohio (E.0900008) and active in the NPI registry since August 2007.
NPPES Registry Identity
NPI1396936597
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRANDON MASSULLOCredential: MA/LPCC
Location Address24500 CENTER RIDGE RD, BUILDING 4, SUITE 100Westlake, OH 44145-5601
Mailing Address24500 Center Ridge Rd, Building 4, Suite 100Westlake, OH 44145-5601 · (440) 899-1300 · Fax (440) 899-0266
Phone(440) 899-1300
Fax(440) 899-0266
Sole ProprietorYes
Enumeration DateAugust 5, 2007
Last NPPES UpdateMarch 16, 2011
✔ NPI 1396936597 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.0900008
24500 CENTER RIDGE RD, Westlake, OH 44145
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychologist (Clinical)
24500 CENTER RIDGE RD, #125
WESTLAKE, OH 44145
WESTLAKE, OH 44145
Counselor (Professional)
24500 CENTER RIDGE RD, BLDG. 4, SUITE 100
WESTLAKE, OH 44145
WESTLAKE, OH 44145
Counselor (Professional)
24500 CENTER RIDGE RD, #100 BLDG 4
WESTLAKE, OH 44145
WESTLAKE, OH 44145
Counselor (Mental Health)
24500 CENTER RIDGE RD, SUITE 100
WESTLAKE, OH 44145
WESTLAKE, OH 44145
Counselor (Mental Health)
24500 CENTER RIDGE RD, SUITE 100
WESTLAKE, OH 44145
WESTLAKE, OH 44145
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396936597, enumerated as an "individual" on August 05, 2007.
The provider is located at 24500 CENTER RIDGE RD BUILDING 4, SUITE 100 WESTLAKE, OH 44145 and the phone number is (440) 899-1300.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
