Brendar Brady, LAC
Counselor in Woodbury, NJ. Individual provider (NPI-1).
NPI number1205680451
StatusActive
Last updated in NPPESJun 27, 2024
Details
- NPI
- 1205680451
- Entity type
- Individual (NPI-1)
- Name
- Brendar Brady
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2024
- Certification date
- Jun 27, 2024
- Last updated
- Jun 27, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 37AC00770000 | NJ | Yes |
Other names
- Brendar Lieur (Former Name)
Practice location
1 Lupton AveWoodbury, NJ 08096-5901
Phone 856-693-5775
Mailing address
1 Lupton AveWoodbury, NJ 08096-5901
Phone 856-693-5775
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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