Healthcare Provider Details
I. General information
NPI: 1306823430
Provider Name (Legal Business Name): BRETT HETRICK LPCS, LMFT, NCC,CART
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/29/2005
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2573 ENLOE RD
HOWE TX
75459-4701
US
IV. Provider business mailing address
2573 ENLOE RD
HOWE TX
75459-4701
US
V. Phone/Fax
- Phone: 940-367-8398
- Fax:
- Phone: 940-367-8398
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 200982 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 61305 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: