Healthcare Provider Details

I. General information

NPI: 1447796404
Provider Name (Legal Business Name): BB COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2017
Last Update Date: 01/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 S I 35 E SUITE 204
DENTON TX
76205-4101
US

IV. Provider business mailing address

723 S I 35 E SUITE 204
DENTON TX
76205-4101
US

V. Phone/Fax

Practice location:
  • Phone: 903-440-0877
  • Fax:
Mailing address:
  • Phone: 903-440-0877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number70306
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number202058
License Number StateTX

VIII. Authorized Official

Name: MRS. BRITTANY KOREN BRUMIT
Title or Position: OWNER/THERAPIST
Credential: LPC, LMFT
Phone: 903-440-0877