Healthcare Provider Details

I. General information

NPI: 1336057652
Provider Name (Legal Business Name): BRENNA CHRISTINE RICHARDSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5512 W PLANO PKWY STE 300
PLANO TX
75093-4840
US

IV. Provider business mailing address

2520 BELMEADE DR
CARROLLTON TX
75006-2007
US

V. Phone/Fax

Practice location:
  • Phone: 972-905-0264
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: