MEDICARE: MRS. BRISA LEONOR BELMONTES LPC ASSOCIATE

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	101YM0800X	Mental Health Counselor	96089	TX

General Provider Information

NPI Number	:	1104611896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRISA LEONOR BELMONTES LPC ASSOCIATE

Provider Business Mailing Address
First Line	:	6310 GENOA AVE STE D
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-2708
Country	:	US
Telephone Number	:	806-855-3024
Fax Number	:

Provider Business Practice Location Address
First Line	:	6310 GENOA AVE STE D
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-2708
Country	:	US
Telephone Number	:	806-855-3024
Fax Number	:

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

Provider Enumeration Date	:	04/12/2025
Last Update Date	:	03/16/2026

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