Healthcare Provider Details

I. General information

NPI: 1851600514
Provider Name (Legal Business Name): BRANDY ALEXANDRIA HARRIS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRANDY ALEXANDRIA HERBERT-HARRIS MFTI

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 CANDLEWOOD ST STE 16F
LAKEWOOD CA
90712-1927
US

IV. Provider business mailing address

8736 RAMONA ST
BELLFLOWER CA
90706-7714
US

V. Phone/Fax

Practice location:
  • Phone: 323-546-9838
  • Fax:
Mailing address:
  • Phone: 310-493-2221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number104817
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number69124
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: