National Provider Identifier

Brenna Brady

Brenna Brady is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Avon, NY and a listed phone number of (585) 658-0900.

NPI 1538852678Avon, NYMental Health Counselor

Profile Overview

NPI
1538852678
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
June 02, 2023
Last Updated
June 02, 2023

Practice Location

  • 5712 Tec Dr
  • Avon, NY 14414-9593

Phone: (585) 658-0900

Mailing Address

  • 190 Parrish St Apt 3A-26
  • Canandaigua, NY 14424-1724

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1538852678
Entity Type
Individual
Last Name
Brady
First Name
Brenna
Provider Other Last Name
Hahne
Provider Other First Name
Brenna
Provider Other Last Name Type Code
1
Mailing Street Address
190 Parrish St Apt 3A-26
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1724
Mailing Country
US
Mailing Phone
(315) 399-2773
Practice Street Address
5712 Tec Dr
Practice City
Avon
Practice State
NY
Practice ZIP Code
14414-9593
Practice Country
US
Practice Phone
(585) 658-0900
Enumeration Date
June 02, 2023
Last Updated
June 02, 2023
Sex
Female
Sole Proprietor
No
Certification Date
June 02, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)