DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MELISSA BRISENO LCDC

MEDICARE: MELISSA BRISENO LCDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor12370TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112370OTHERTXTEXAS DEPARTMENT OF STATE AND HEALTH SERVICES

General Provider Information

NPI Number : 1720469422
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA BRISENO LCDC
Provider Business Mailing Address
First Line : 802 E CRESTWOOD DR
Second Line :
City : VICTORIA
State : TX
Zip : 77901-3309
Country : US
Telephone Number : 361-576-4673
Fax Number : 361-576-6557
Provider Business Practice Location Address
First Line : 802 E CRESTWOOD DR
Second Line :
City : VICTORIA
State : TX
Zip : 77901-3309
Country : US
Telephone Number : 361-576-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2015
Last Update Date : 01/15/2026

Similar Medicare Providers

1366804742 — MARK RYAN KELLY LPC, LCDC
Practice Location Address:
802 E CRESTWOOD DR
VICTORIA, TX
77901-3309
Practice Phone: 361-576-4673
Practice Fax:
1801205810 — BILLY T. CATTAN RECOVERY OUTREACH, INC.
Practice Location Address:
802 E CRESTWOOD DR
VICTORIA, TX
77901-3309
Practice Phone: 361-576-4673
Practice Fax: 361-576-6557
1841690807 — STEPHANIE ANN BASSANO LCDC, CCJP, DOT/SAP
Practice Location Address:
802 E CRESTWOOD DR
VICTORIA, TX
77901-3309
Practice Phone: 361-576-4673
Practice Fax: 361-576-6557
1841726569 — ELMA SAENZ LCSW, LCDC
Practice Location Address:
802 E CRESTWOOD DR
VICTORIA, TX
77901-3309
Practice Phone: 361-576-4673
Practice Fax: 361-576-6557
1710583471 — ASHLEY LEE MOULTON M. A., LPC, LCDC-I
Practice Location Address:
802 E CRESTWOOD DR
VICTORIA, TX
77901-3309
Practice Phone: 361-576-4673
Practice Fax:
1770319287 — RUBEN CASTRO LCSW
Practice Location Address:
802 E CRESTWOOD DR
VICTORIA, TX
77901-3309
Practice Phone: 361-576-4673
Practice Fax:

Directions to “ MELISSA BRISENO LCDC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.