Provider Demographics
NPI:1841170941
Name:BRANDT WELLNESS, LLC
Entity type:Organization
Organization Name:BRANDT WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:360-359-2253
Mailing Address - Street 1:111 TUMWATER BLVD SE STE C212
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-6400
Mailing Address - Country:US
Mailing Address - Phone:360-359-2253
Mailing Address - Fax:206-222-6968
Practice Address - Street 1:111 TUMWATER BLVD SE STE C212
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-6400
Practice Address - Country:US
Practice Address - Phone:360-359-2253
Practice Address - Fax:206-222-6968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health