Provider Demographics
NPI:1790657815
Name:SPELLMAN, BRIANA K (LPC)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:K
Last Name:SPELLMAN
Suffix:
Gender:X
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 AVERY CT
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-9251
Mailing Address - Country:US
Mailing Address - Phone:757-774-6180
Mailing Address - Fax:
Practice Address - Street 1:103 AVERY CT
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-9251
Practice Address - Country:US
Practice Address - Phone:757-774-6180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701015356101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor