MEDICARE: BRENDA SOTO LPC

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	101YP2500X	Professional Counselor	89863	TX

General Provider Information

NPI Number	:	1275393738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA SOTO LPC

Provider Business Mailing Address
First Line	:	1255 ELDRIDGE PKWY APT 503
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-2169
Country	:	US
Telephone Number	:	832-869-2261
Fax Number	:

Provider Business Practice Location Address
First Line	:	12440 OXFORD PARK DR STE C106
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2767
Country	:	US
Telephone Number	:	281-846-4716
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2024
Last Update Date	:	06/02/2026

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Directions to “ BRENDA SOTO LPC” Practice Location

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