Provider Demographics
NPI:1225496359
Name:WHEELER, BRANDON (LMFT)
Entity Type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:
Last Name:WHEELER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 COLQUITT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3405
Mailing Address - Country:US
Mailing Address - Phone:832-689-8962
Mailing Address - Fax:
Practice Address - Street 1:4115 LOU ANNE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-5136
Practice Address - Country:US
Practice Address - Phone:832-689-8962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201415101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health