Provider Demographics
NPI:1528409729
Name:BABB-SEEPERSAUD, BRENDA C (MBA)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:C
Last Name:BABB-SEEPERSAUD
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 E FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-1210
Mailing Address - Country:US
Mailing Address - Phone:786-499-8504
Mailing Address - Fax:
Practice Address - Street 1:169 E FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-1210
Practice Address - Country:US
Practice Address - Phone:786-499-8504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)