MEDICARE: BRINTON RENEGAR LPC-A

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

General Provider Information

NPI Number	:	1407705312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRINTON RENEGAR LPC-A

Provider Business Mailing Address
First Line	:	6302 BLAKE AVE APT 14C
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79119-7244
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3505 OLSEN BLVD STE 210
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79109-3032
Country	:	US
Telephone Number	:	806-231-1765
Fax Number	:

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

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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Directions to “ BRINTON RENEGAR LPC-A” Practice Location

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