NPI Code Details Logo

NPI 1033899703

NPI 1033899703 : MACKENZIE ANN BRASHER LMFT, LPC, LCDC : FLOWER MOUND, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1033899703
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MACKENZIE ANN BRASHER LMFT, LPC, LCDC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/18/2023
-----------------------------------------------------
    Last Update Date     |    10/03/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2300 OLYMPIA DR UNIT 270274 
-----------------------------------------------------
    City                 |    FLOWER MOUND
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75027-0109
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    917-687-6876
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2300 OLYMPIA DR UNIT 270274 
-----------------------------------------------------
    City                 |    FLOWER MOUND
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75027-0109
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-269-2008
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    13004
-----------------------------------------------------
    License Number State |    OK
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    205084
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    101YA0400X
-----------------------------------------------------
    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
    License Number       |    16689
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    94635
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.