Provider Demographics
NPI:1790662724
Name:COMER, BRENNAN RHEA
Entity type:Individual
Prefix:
First Name:BRENNAN
Middle Name:RHEA
Last Name:COMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRENNAN
Other - Middle Name:RHEA
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6503 CHLOE CIR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-1103
Mailing Address - Country:US
Mailing Address - Phone:806-584-3986
Mailing Address - Fax:
Practice Address - Street 1:6503 CHLOE CIR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-1103
Practice Address - Country:US
Practice Address - Phone:806-584-3986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94589101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional