MEDICARE: KAREN LEE BROCHUE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	4990	TX
2	101YP2500X	Professional Counselor	17153	TX

General Provider Information

NPI Number	:	1053520718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN LEE BROCHUE, PC

Provider Business Mailing Address
First Line	:	PO BOX 781628
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78278-1628
Country	:	US
Telephone Number	:	210-857-0410
Fax Number	:

Provider Business Practice Location Address
First Line	:	7570 KEENELAND DR
Second Line	:
City	:	FAIR OAKS RANCH
State	:	TX
Zip	:	78015-4249
Country	:	US
Telephone Number	:	210-857-0410
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KAREN LEE BROCHUE
Credential	:	MA, LMFT, LPC
Telephone Number	:	210-857-0140

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	09/11/2025

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