Provider Demographics
NPI:1780349290
Name:CAGE, BREIANE (LMFT, CCTP)
Entity type:Individual
Prefix:
First Name:BREIANE
Middle Name:
Last Name:CAGE
Suffix:
Gender:F
Credentials:LMFT, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 W PLANO PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-8600
Mailing Address - Country:US
Mailing Address - Phone:972-345-9522
Mailing Address - Fax:972-521-7793
Practice Address - Street 1:1721 W PLANO PKWY STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8600
Practice Address - Country:US
Practice Address - Phone:469-609-7506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-01
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203839106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist