Provider Demographics
NPI:1881733301
Name:GARMA, BRENDA M (PHD, LMHC)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:M
Last Name:GARMA
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:DR
Other - First Name:BRENDA
Other - Middle Name:
Other - Last Name:GARMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LMHC
Mailing Address - Street 1:900 S US HIGHWAY 1 STE 101
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-6468
Mailing Address - Country:US
Mailing Address - Phone:561-315-8849
Mailing Address - Fax:561-203-2564
Practice Address - Street 1:900 S US HIGHWAY 1 STE 101
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-6468
Practice Address - Country:US
Practice Address - Phone:561-315-8849
Practice Address - Fax:561-203-2564
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7233101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ069BOtherBLUE CROSS AND BLUE SHIEL