Provider Demographics
NPI:1144552241
Name:DENSON, BRANDI SUZETTE (LCSW)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:SUZETTE
Last Name:DENSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:VAUGHT
Other - Last Name:DENSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1188 COUNTY ROAD 3425
Mailing Address - Street 2:
Mailing Address - City:COOKVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75558-2083
Mailing Address - Country:US
Mailing Address - Phone:903-285-0646
Mailing Address - Fax:
Practice Address - Street 1:1188 COUNTY ROAD 3425
Practice Address - Street 2:
Practice Address - City:COOKVILLE
Practice Address - State:TX
Practice Address - Zip Code:75558-2083
Practice Address - Country:US
Practice Address - Phone:903-285-0646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX272531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical