Provider Demographics
NPI:1275093932
Name:BRIAN E HUDSPETH COUNSELING LLC
Entity Type:Organization
Organization Name:BRIAN E HUDSPETH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HUDSPETH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:325-518-6243
Mailing Address - Street 1:1049 N 3RD ST STE 602
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-5847
Mailing Address - Country:US
Mailing Address - Phone:325-518-6243
Mailing Address - Fax:
Practice Address - Street 1:1049 N 3RD ST STE 602
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-5847
Practice Address - Country:US
Practice Address - Phone:325-518-6243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty