MEDICARE: BRENDA ROMERO-HERRERA M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	4290	TN
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1073939534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA ROMERO-HERRERA M.S.

Provider Business Mailing Address
First Line	:	1604 WESTGATE CIR
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-1300
Country	:	US
Telephone Number	:	615-510-4832
Fax Number	:

Provider Business Practice Location Address
First Line	:	1604 WESTGATE CIR
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-1300
Country	:	US
Telephone Number	:	615-510-4832
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2014
Last Update Date	:	05/17/2024

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