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NPI Code Detail

MEDICARE: BRENDA N NASH LCSW

MEDICARE: BRENDA N NASH LCSW
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
1101YM0800XMental Health Counselor52929KY
21041C0700XClinical Social WorkerC10040MS

General Provider Information

NPI Number : 1154693976
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA N NASH LCSW
Provider Business Mailing Address
First Line : PO BOX 1335
Second Line :
City : MAGEE
State : MS
Zip : 39111-1335
Country : US
Telephone Number : 817-265-2344
Fax Number :
Provider Business Practice Location Address
First Line : 1981 STADIUM OAKS CT # B4
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-7825
Country : US
Telephone Number : 817-265-2344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2012
Last Update Date : 03/11/2026

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