Provider Demographics
NPI:1619473279
Name:REINHARDT, BRANDI M CAVENER (MA, LPC)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:M CAVENER
Last Name:REINHARDT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 HEBRON PKWY STE 803
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-5145
Mailing Address - Country:US
Mailing Address - Phone:817-308-5486
Mailing Address - Fax:
Practice Address - Street 1:860 HEBRON PKWY STE 803
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5145
Practice Address - Country:US
Practice Address - Phone:817-308-5486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76050101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional