Provider Demographics
NPI:1891376430
Name:BROWN, BRENDA MCGEE (LPC)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:MCGEE
Last Name:BROWN
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 1:5322 COUNTY ROAD 292 E
Mailing Address - Street 2:
Mailing Address - City:KILGORE
Mailing Address - State:TX
Mailing Address - Zip Code:75662-1793
Mailing Address - Country:US
Mailing Address - Phone:251-610-5752
Mailing Address - Fax:
Practice Address - Street 1:303 ENTERPRISE ST
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-5447
Practice Address - Country:US
Practice Address - Phone:903-309-3269
Practice Address - Fax:903-339-2347
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-15
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78955101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health