Provider Demographics
NPI:1225367303
Name:OWNBY, BRANDI ALEECE (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:ALEECE
Last Name:OWNBY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5725 OVERRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1139
Mailing Address - Country:US
Mailing Address - Phone:817-349-8787
Mailing Address - Fax:866-318-0828
Practice Address - Street 1:2300 CIRCLE DR
Practice Address - Street 2:STE 2307
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76119-8134
Practice Address - Country:US
Practice Address - Phone:817-349-8787
Practice Address - Fax:817-231-0650
Is Sole Proprietor?:No
Enumeration Date:2009-12-18
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63043101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX209882401Medicaid