Provider Demographics
NPI:1245405927
Name:BRUMLEY, MICHELLE K (MED, LPC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:K
Last Name:BRUMLEY
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:SUZANNE
Other - Last Name:KUHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, LPC
Mailing Address - Street 1:9907 HAWKINS LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6641
Mailing Address - Country:US
Mailing Address - Phone:281-787-7029
Mailing Address - Fax:
Practice Address - Street 1:9907 HAWKINS LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6641
Practice Address - Country:US
Practice Address - Phone:281-787-7029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62481101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional