Provider Demographics
NPI:1508124678
Name:BRASHEAR, BARBETT (LBSW)
Entity Type:Individual
Prefix:
First Name:BARBETT
Middle Name:
Last Name:BRASHEAR
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 RICHMOND AVE
Mailing Address - Street 2:STE 120-I
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3103
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3015 RICHMOND AVE
Practice Address - Street 2:STE 120-I
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3103
Practice Address - Country:US
Practice Address - Phone:281-400-3640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37641104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker