Doctor Name: | MRS. BRANDI LYNN TARVER |
NPI Number: | 1083916522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 64924 |
Business Practice Address: | 1560 W Bay Area Blvd Suite 270 Friendswood, TX - 775462667 |
Business Phone Number: | 2814800200 |
Business Fax Number: | 2814800202 |
Mailing Address: | 1560 W Bay Area Blvd, Suite 270 FRIENDSWOOD |
State: | TX |
Postal Code: | 775462667 |
Phone Number: | 2814800200 |
Fax Number: | 2814800202 |
NPI Enumeration Date: | 12/02/2010 |
NPI Last Update Date: | 12/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 64924 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |