Provider Demographics
NPI:1053967919
Name:CHAPMAN, BRANDY ANN
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:ANN
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 JACKSON ST STE B
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-2595
Mailing Address - Country:US
Mailing Address - Phone:318-625-7434
Mailing Address - Fax:866-238-8408
Practice Address - Street 1:5401 JACKSON ST STE B
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-2595
Practice Address - Country:US
Practice Address - Phone:318-625-7434
Practice Address - Fax:866-238-8408
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator