Provider Demographics
NPI:1376329508
Name:ST MARIE, BRANDI DEMOUY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:DEMOUY
Last Name:ST MARIE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:BRANDI
Other - Middle Name:NICOLE
Other - Last Name:DEMOUY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PSC 80 BOX 12578
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96367-0028
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10510 DEN OAK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3732
Practice Address - Country:US
Practice Address - Phone:713-410-0009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86568101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional