BRANDY ST JOHN LPC NPI 1619213030

NPI Information

  • NPI: 1619213030
  • Provider Name: BRANDY ST JOHN, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 424 HAMILTON BLVD
    SOUTH BOSTON, VA
    ZIP 24592
  • Phone: (434) 572-4863

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NPI Details

Brandy St John, LPC is a professional counselor in South Boston, VA. Brandy St John, LPC NPI is 1619213030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

424 HAMILTON BLVD
SOUTH BOSTON, VA
ZIP 24592-200
Phone: (434) 572-4863
Fax: (434) 572-4978

The enumeration date for this NPI number is 12/13/2012 and was last updated on 3/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional0701006492VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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