Healthcare Provider Details

I. General information

NPI: 1730001561
Provider Name (Legal Business Name): BRIGANDO COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1733 BRIARCREST DR STE 107
BRYAN TX
77802-2738
US

IV. Provider business mailing address

2021 JESTER TRL
BRYAN TX
77807-1451
US

V. Phone/Fax

Practice location:
  • Phone: 979-985-0056
  • Fax:
Mailing address:
  • Phone: 979-985-0056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AUDREY FLORES BRIGANDO
Title or Position: CEO
Credential: MA, LPC
Phone: 979-985-0056