Provider Demographics
NPI:1639949415
Name:BOYCE, BROOKE MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:MARIE
Last Name:BOYCE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22123 BUCKTROUT LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3013
Mailing Address - Country:US
Mailing Address - Phone:121-066-7671
Mailing Address - Fax:
Practice Address - Street 1:22123 BUCKTROUT LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-3013
Practice Address - Country:US
Practice Address - Phone:121-066-7671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84542101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional