Provider Demographics
NPI:1619024866
Name:HORNADAY, BRENDA (MA LPC)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:
Last Name:HORNADAY
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18011 TIMBER MIST CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2192
Mailing Address - Country:US
Mailing Address - Phone:281-855-3428
Mailing Address - Fax:
Practice Address - Street 1:18011 TIMBER MIST CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2192
Practice Address - Country:US
Practice Address - Phone:281-855-3428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17593101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health