Provider Demographics
NPI:1619029493
Name:WOLFSKILL, BRENT HAROLD (LPC, LCDC)
Entity Type:Individual
Prefix:MR
First Name:BRENT
Middle Name:HAROLD
Last Name:WOLFSKILL
Suffix:
Gender:M
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 N LITTLE SCHOOL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1900
Mailing Address - Country:US
Mailing Address - Phone:817-680-9218
Mailing Address - Fax:817-561-5395
Practice Address - Street 1:1101 N LITTLE SCHOOL RD
Practice Address - Street 2:SUITE B
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-1900
Practice Address - Country:US
Practice Address - Phone:817-680-9218
Practice Address - Fax:817-561-5395
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8187101YA0400X
TX18736101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional