MEDICARE: BRANDON CHRISTOPHER OBRYANT 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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	15696	TX
2	1041C0700X	Clinical Social Worker	110130	TX
3	101YM0800X	Mental Health Counselor	110130	TX

General Provider Information

NPI Number	:	1760062020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON CHRISTOPHER OBRYANT LCDC

Provider Business Mailing Address
First Line	:	8038 EXCHANGE DR APT 939
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-4784
Country	:	US
Telephone Number	:	512-923-2737
Fax Number	:

Provider Business Practice Location Address
First Line	:	1631 E 2ND ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-4490
Country	:	US
Telephone Number	:	512-804-3384
Fax Number	:

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

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	06/17/2026

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