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MANDY S. DELOIS BRANTLEY MS
NPI 1871062950
Counselor - Addiction (Substance Use Disorder) in San Rafael, CA

Active since November 18, 2018
1477 LINCOLN AVE, SAN RAFAEL, CA 94901(334) 692-4455 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2022, Nov 19, 2018 (2 updates tracked since 2018).

About Mandy S. Delois Brantley Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANDY S. DELOIS BRANTLEY MS (NPI 1871062950) is an individual addiction (substance use disorder) provider in San Rafael, California and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1871062950
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMANDY S. DELOIS BRANTLEYCredential: MS
Location Address1477 LINCOLN AVESan Rafael, CA 94901-2028
Mailing Address3014 Fruitvale Ave Apt 10Oakland, CA 94602-2150 · (334) 791-1703
Phone(334) 692-4455
Sole ProprietorYes
Enumeration DateNovember 18, 2018
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1871062950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1477 LINCOLN AVE, San Rafael, CA 94901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

KATE PURVIS
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
LUZ AMPARO LEMONFIELD SUDRC
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
KRISTINA LAUREN FERRANTE
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
CHIVONNE LORRAINE BOZARTH
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
JEANNIE HILL
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
SEENA AGUILAR
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
MRS. GLORIA PEREZ NEVAREZ SUDCC 17223
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395
JAVON DESHAY LAMPKIN R1373891219
Counselor (Addiction (Substance Use Disorder))
1477 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 459-2395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mandy Brantley's NPI number?

The NPI number for Mandy Brantley is 1871062950. It was assigned to this individual provider in the NPPES registry on November 18, 2018.

Where is Mandy Brantley located?

Mandy Brantley practices at 1477 Lincoln Ave, San Rafael, CA 94901. The listed phone number is (334) 692-4455.

What is Mandy Brantley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mandy Brantley was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.