Provider Demographics
NPI:1336824937
Name:LUSBY, BRIANNA BRENDA (MA, LPCMH, NCC)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:BRENDA
Last Name:LUSBY
Suffix:
Gender:F
Credentials:MA, LPCMH, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-2753
Mailing Address - Country:US
Mailing Address - Phone:302-336-8038
Mailing Address - Fax:
Practice Address - Street 1:955 FOREST ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3401
Practice Address - Country:US
Practice Address - Phone:302-209-5372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0011869101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health