Provider Demographics
NPI:1225749807
Name:BRANDI LASHAY RHODEN LLC
Entity type:Organization
Organization Name:BRANDI LASHAY RHODEN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:LASHAY
Authorized Official - Last Name:RHODEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:682-215-2061
Mailing Address - Street 1:5583 MURRAY AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-0807
Mailing Address - Country:US
Mailing Address - Phone:682-215-2061
Mailing Address - Fax:817-887-3683
Practice Address - Street 1:5583 MURRAY AVE STE 208
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-0807
Practice Address - Country:US
Practice Address - Phone:682-215-2061
Practice Address - Fax:817-887-3683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2024-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty