Provider Demographics
NPI:1780485235
Name:SPIVEY, BRETT ALAN
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:ALAN
Last Name:SPIVEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 BROOK CIR
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:TX
Mailing Address - Zip Code:76643-3356
Mailing Address - Country:US
Mailing Address - Phone:254-723-3393
Mailing Address - Fax:
Practice Address - Street 1:524 BROOK CIR
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:TX
Practice Address - Zip Code:76643-3356
Practice Address - Country:US
Practice Address - Phone:254-723-3393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker