Kelly R Brandsgaard | Liberty, MO • PECOS Search

Kelly R Brandsgaard

Counselor

Behavioral Health & Social Service Providers

4 Westowne St Ste 403, Liberty, MO 64068-3511

(816) 407-1754 (660) 665-1962

PECOS Enrollment

Based on the most recent information from CMS, provider Kelly R Brandsgaard does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1558625343
Provider Type
Individual
Full Name
Brandsgaard, Kelly R
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
6/27/2012
Last Updated
6/27/2012

Contact Information

Practice Location

4 Westowne St Ste 403, Liberty, MO 64068-3511

(816) 407-1739

Mailing Location

900 E Laharpe St, Kirksville, MO 63501-4520

(660) 665-3989

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 2010041602 Missouri