Provider Demographics
NPI:1134856636
Name:O'DONALD, BRIONNA MORGAN (LPC)
Entity type:Individual
Prefix:MISS
First Name:BRIONNA
Middle Name:MORGAN
Last Name:O'DONALD
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 1:294 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-4554
Mailing Address - Country:US
Mailing Address - Phone:325-437-6888
Mailing Address - Fax:
Practice Address - Street 1:294 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-4554
Practice Address - Country:US
Practice Address - Phone:325-437-1852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84852101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84852OtherLPC LICENSE