Provider Demographics
NPI:1497077465
Name:TRENT, BRENDA KAY (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:KAY
Last Name:TRENT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:BRENDA
Other - Middle Name:KAY
Other - Last Name:TRENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:303 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-2935
Mailing Address - Country:US
Mailing Address - Phone:864-855-3231
Mailing Address - Fax:
Practice Address - Street 1:303 S 1ST ST
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-2935
Practice Address - Country:US
Practice Address - Phone:864-855-3231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5352101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC5352OtherLICENSURE LPC