Provider Demographics
NPI:1174208300
Name:DARBY, BRANDON (LPC-A, NCC)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:DARBY
Suffix:
Gender:M
Credentials:LPC-A, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 82ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-4342
Mailing Address - Country:US
Mailing Address - Phone:806-794-3232
Mailing Address - Fax:
Practice Address - Street 1:2020 82ND ST STE 101
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-4342
Practice Address - Country:US
Practice Address - Phone:806-794-3232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89949101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health