MEDICARE: BRETT HETRICK LPCS, LMFT, NCC,CART

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	106H00000X	Marriage & Family Therapist	200982	TX
2	101YP2500X	Professional Counselor	61305	TX

General Provider Information

NPI Number	:	1306823430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRETT HETRICK LPCS, LMFT, NCC,CART

Provider Business Mailing Address
First Line	:	2573 ENLOE RD
Second Line	:
City	:	HOWE
State	:	TX
Zip	:	75459-4701
Country	:	US
Telephone Number	:	940-367-8398
Fax Number	:

Provider Business Practice Location Address
First Line	:	2573 ENLOE RD
Second Line	:
City	:	HOWE
State	:	TX
Zip	:	75459-4701
Country	:	US
Telephone Number	:	940-367-8398
Fax Number	:

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	10/11/2025

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