Provider Demographics
NPI:1588231906
Name:HARMON, BRANDI RUTH (LCSW)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:RUTH
Last Name:HARMON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:RUTH
Other - Last Name:WORKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2832 WOODHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-8696
Mailing Address - Country:US
Mailing Address - Phone:337-945-8787
Mailing Address - Fax:
Practice Address - Street 1:2832 WOODHAVEN DR
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-8696
Practice Address - Country:US
Practice Address - Phone:337-945-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA67541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical