Provider Demographics
NPI:1700602133
Name:OUSLEY, BRANDON CRISHAUN (LMSW)
Entity type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:CRISHAUN
Last Name:OUSLEY
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3385 AIRWAYS BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-3808
Mailing Address - Country:US
Mailing Address - Phone:901-249-4120
Mailing Address - Fax:901-666-1925
Practice Address - Street 1:3385 AIRWAYS BLVD STE 204
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-3808
Practice Address - Country:US
Practice Address - Phone:901-249-4120
Practice Address - Fax:901-666-1925
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8126104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker