MEDICARE: BREYON MCCONNELL 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	171M00000X	Case Manager/Care Coordinator
2	101YP2500X	Professional Counselor	100995	TX

General Provider Information

NPI Number	:	1376903591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BREYON MCCONNELL M.S.

Provider Business Mailing Address
First Line	:	336 1/2 N MAIN ST
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-3379
Country	:	US
Telephone Number	:	713-899-9567
Fax Number	:

Provider Business Practice Location Address
First Line	:	336 1/2 N MAIN ST
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-3379
Country	:	US
Telephone Number	:	713-899-9567
Fax Number	:

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

Provider Enumeration Date	:	03/01/2016
Last Update Date	:	02/13/2026

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Directions to “ BREYON MCCONNELL M.S.” Practice Location

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