Provider Demographics
NPI:1932370020
Name:COMPAGNONE, BRENDA SANCHEZ (MED, LPC S)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:SANCHEZ
Last Name:COMPAGNONE
Suffix:
Gender:F
Credentials:MED, LPC S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6738 SPRING ROSE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2943
Mailing Address - Country:US
Mailing Address - Phone:210-605-2459
Mailing Address - Fax:
Practice Address - Street 1:6738 SPRING ROSE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2943
Practice Address - Country:US
Practice Address - Phone:210-605-2459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63706101Y00000X, 101YM0800X, 106H00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX194425801Medicaid