Provider Demographics
NPI:1275806432
Name:TSCHIRHART-BROOKS, NANCY (MED, LPC, RPT)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:TSCHIRHART-BROOKS
Suffix:
Gender:F
Credentials:MED, LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 N SAINT MARYS ST
Mailing Address - Street 2:STE. 210
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-3164
Mailing Address - Country:US
Mailing Address - Phone:210-685-7160
Mailing Address - Fax:
Practice Address - Street 1:3510 N SAINT MARYS ST
Practice Address - Street 2:STE. 210
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-3164
Practice Address - Country:US
Practice Address - Phone:210-685-7160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-20
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional