Provider Demographics
NPI:1871247353
Name:GARRETT, BREA (LMSW)
Entity Type:Individual
Prefix:
First Name:BREA
Middle Name:
Last Name:GARRETT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 WOERNER RD APT 2103
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-1072
Mailing Address - Country:US
Mailing Address - Phone:346-218-1465
Mailing Address - Fax:
Practice Address - Street 1:300 WOERNER RD APT 2103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1072
Practice Address - Country:US
Practice Address - Phone:346-218-1465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health