Provider Demographics
NPI:1023511078
Name:GARRISON, BAWANDA DENISE (MSW)
Entity type:Individual
Prefix:
First Name:BAWANDA
Middle Name:DENISE
Last Name:GARRISON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 NEWTON ST APT 6F
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5159
Mailing Address - Country:US
Mailing Address - Phone:334-221-9326
Mailing Address - Fax:
Practice Address - Street 1:1117 GARDNER ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-3038
Practice Address - Country:US
Practice Address - Phone:256-549-0807
Practice Address - Fax:256-549-0887
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)