=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578487765
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TINA BRENNAN HCS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/10/2026
-----------------------------------------------------
Last Update Date | 08/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11740 NORTHPOINTE BLVD APT 2705
-----------------------------------------------------
City | TOMBALL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77377-6216
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 936-689-1219
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11740 NORTHPOINTE BLVD APT 2705
-----------------------------------------------------
City | TOMBALL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77377-6216
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 936-689-1219
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/OPERATOR
-----------------------------------------------------
Name | MS. TINA COREY BRENNAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 936-689-1219
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------