Provider Demographics
NPI:1639842305
Name:PETE, BROOKLYN ARIEL (LPC, LCDC-I)
Entity type:Individual
Prefix:
First Name:BROOKLYN
Middle Name:ARIEL
Last Name:PETE
Suffix:
Gender:F
Credentials:LPC, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 W PLEASANT RUN RD APT 8302
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-0040
Mailing Address - Country:US
Mailing Address - Phone:512-409-8441
Mailing Address - Fax:
Practice Address - Street 1:320 W PLEASANT RUN RD APT 8202
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-0039
Practice Address - Country:US
Practice Address - Phone:512-409-8441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80663101YP2500X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No374J00000XNursing Service Related ProvidersDoula