Provider Demographics
NPI:1437517661
Name:NABOURS, BRIGIT
Entity Type:Individual
Prefix:
First Name:BRIGIT
Middle Name:
Last Name:NABOURS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15201 MASON RD
Mailing Address - Street 2:1000-201
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5954
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15201 MASON RD
Practice Address - Street 2:1000-201
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5954
Practice Address - Country:US
Practice Address - Phone:713-540-5455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66116, 11050101Y00000X, 101YA0400X
TX66116101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health