Provider Demographics
NPI:1134836307
Name:ZWEIG, BRANDI (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:ZWEIG
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:
Other - Last Name:BALBONTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2131 KIRKWOOD BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-1539
Mailing Address - Country:US
Mailing Address - Phone:940-294-7060
Mailing Address - Fax:
Practice Address - Street 1:2131 KIRKWOOD BLVD STE 140
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-1539
Practice Address - Country:US
Practice Address - Phone:940-294-7060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88641101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional