Individual provider · NPI-1

Brandi Suzanne Boyette

Counselor, Mental Health · Crestview, FL

NPI number1063385482
StatusActive
Last updated in NPPESSep 24, 2025

Details

NPI
1063385482
Entity type
Individual (NPI-1)
Name
Mrs. Brandi Suzanne Boyette
Sex
Female
Sole proprietor
No
Enumeration date
Sep 24, 2025
Certification date
Sep 23, 2025
Last updated
Sep 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthIMH28423FLYes

Practice location

160 Alabama St
Crestview, FL 32536-2544

Phone 850-684-4651

Mailing address

5407 Highway 4
Baker, FL 32531-8435

Phone 850-312-8680

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