Healthcare Provider Details

I. General information

NPI: 1760303440
Provider Name (Legal Business Name): BRANDY L BARRETT ALC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 7TH AVE
JASPER AL
35501-4378
US

IV. Provider business mailing address

102 GRAVLEE JUNCTION RD
BREMEN AL
35033-5410
US

V. Phone/Fax

Practice location:
  • Phone: 205-302-9066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberALC06103
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: