Provider Demographics
NPI:1003355926
Name:BRENT, BILLIE S
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:S
Last Name:BRENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1738 EAGLE ST APT F
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-4426
Mailing Address - Country:US
Mailing Address - Phone:720-314-9921
Mailing Address - Fax:
Practice Address - Street 1:3532 N FRANKLIN ST STE E1
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-3961
Practice Address - Country:US
Practice Address - Phone:720-314-9921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-13
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health