Provider Demographics
NPI:1841300282
Name:HENDRIX-PEART, BREE ANNE (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:BREE
Middle Name:ANNE
Last Name:HENDRIX-PEART
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 361
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-0361
Mailing Address - Country:US
Mailing Address - Phone:210-685-5599
Mailing Address - Fax:
Practice Address - Street 1:4243 E PIEDRAS DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1416
Practice Address - Country:US
Practice Address - Phone:210-685-5599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15883101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1131740-03Medicaid
TX1131740-05Medicaid