Provider Demographics
NPI:1417211236
Name:ALMEJO, BRIAN ELLIOTT (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:ELLIOTT
Last Name:ALMEJO
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2524 LILLIAN MILLER PKWY
Mailing Address - Street 2:#110
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-7206
Mailing Address - Country:US
Mailing Address - Phone:480-290-6508
Mailing Address - Fax:
Practice Address - Street 1:2524 LILLIAN MILLER PKWY
Practice Address - Street 2:#110
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-7206
Practice Address - Country:US
Practice Address - Phone:480-290-6508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67116101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional