MEDICARE: BREA GARRETT LMSW

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	:	1871247353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BREA GARRETT LMSW

Provider Business Mailing Address
First Line	:	300 WOERNER RD APT 2103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-1072
Country	:	US
Telephone Number	:	346-218-1465
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 WOERNER RD APT 2103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-1072
Country	:	US
Telephone Number	:	346-218-1465
Fax Number	:

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

Provider Enumeration Date	:	02/04/2022
Last Update Date	:	02/04/2022

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Directions to “ BREA GARRETT LMSW” Practice Location

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