Provider Demographics
NPI:1407044613
Name:BRISSENDEN, BARBARA ANN (LMHC, LMT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:BRISSENDEN
Suffix:
Gender:F
Credentials:LMHC, LMT
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:BRISSENDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:590 6TH ST S
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-4236
Mailing Address - Country:US
Mailing Address - Phone:727-791-4954
Mailing Address - Fax:
Practice Address - Street 1:126 3RD AVE N
Practice Address - Street 2:SUITE 205
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3667
Practice Address - Country:US
Practice Address - Phone:727-791-4954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2007-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9249101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health