Provider Demographics
NPI:1184213506
Name:STORRIE, ANNE O'BRIEN (LPC)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:O'BRIEN
Last Name:STORRIE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 N WASHINGTON AVE STE 12
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77803-5369
Mailing Address - Country:US
Mailing Address - Phone:800-689-0250
Mailing Address - Fax:484-363-4015
Practice Address - Street 1:309 N WASHINGTON AVE STE 12
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77803-5369
Practice Address - Country:US
Practice Address - Phone:800-689-0250
Practice Address - Fax:484-363-4015
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
TX83622101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor