Broussard, Brenda Leanne
Broussard, Brenda Leanne is an sole proprietor health care provider with primary practice located at 3003 Dawn Dr Ste 101 , Georgetown TX 78628-2800. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Broussard, Brenda Leanne can be contacted via phone (512) 688-4303.Contact Information
Primary practice address
3003 Dawn Dr Ste 101
Georgetown TX 78628-2800
Phone: (512) 688-4303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 66924 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 66924 | Texas |
Profile Details
| NPI number | 1720680622 |
|---|---|
| LBN Legal business name | Broussard, Brenda Leanne |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2020 |
| Last updated | Nov 15th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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