Healthcare Provider Details

I. General information

NPI: 1245143122
Provider Name (Legal Business Name): BRANDIE PARHAM LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29361 WOOD CANYON RD
SILVERADO CA
92676-9613
US

IV. Provider business mailing address

29361 WOOD CANYON RD
SILVERADO CA
92676-9613
US

V. Phone/Fax

Practice location:
  • Phone: 949-275-6124
  • Fax:
Mailing address:
  • Phone: 949-275-6124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number38632
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: