Provider Demographics
NPI:1306692215
Name:BEARD-ANDREASEN, BRANDI (MS)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:BEARD-ANDREASEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13446 SMOKEY QUARTZ LN
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-4806
Mailing Address - Country:US
Mailing Address - Phone:317-744-3097
Mailing Address - Fax:
Practice Address - Street 1:13446 SMOKEY QUARTZ LN
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-4806
Practice Address - Country:US
Practice Address - Phone:317-744-3097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)