Provider Demographics
NPI:1760018030
Name:HOWARD, BRELYN (MSW, CSW)
Entity Type:Individual
Prefix:
First Name:BRELYN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2347 HORACE ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-1446
Mailing Address - Country:US
Mailing Address - Phone:609-560-0795
Mailing Address - Fax:
Practice Address - Street 1:2347 HORACE ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-1446
Practice Address - Country:US
Practice Address - Phone:609-560-0795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14643104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker