Provider Demographics
NPI:1003684382
Name:BRADY, JAMES (MS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:BRADY
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 LINCOLN CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-3603
Mailing Address - Country:US
Mailing Address - Phone:214-924-5998
Mailing Address - Fax:
Practice Address - Street 1:3901 W GREEN OAKS BLVD STE D
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-2789
Practice Address - Country:US
Practice Address - Phone:817-789-3541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89093101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health