Provider Demographics
NPI:1821634445
Name:MARSDEN, BRENDA A (LCDC)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:A
Last Name:MARSDEN
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 BRENTWOOD STAIR RD STE 404
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76103-1731
Mailing Address - Country:US
Mailing Address - Phone:817-492-9383
Mailing Address - Fax:817-492-9575
Practice Address - Street 1:4801 BRENTWOOD STAIR RD STE 404
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76103-1731
Practice Address - Country:US
Practice Address - Phone:817-492-9383
Practice Address - Fax:817-492-9575
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-19
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13267101YA0400X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor