Healthcare Provider Details

I. General information

NPI: 1568128973
Provider Name (Legal Business Name): BRETT ALLYN CUTTS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2449 FORT WORTH DRIVE
DENTON TX
76205
US

IV. Provider business mailing address

2449 FORT WORTH DR
DENTON TX
76205
US

V. Phone/Fax

Practice location:
  • Phone: 512-828-9212
  • Fax:
Mailing address:
  • Phone: 512-828-9212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMHC.LH.61515779
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: