BRENT WHEELER NPI 1376786459

NPI Information

NPI: 1376786459
Provider Name: BRENT WHEELER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1907 N. LAMAR BLVD
SUITE 354
AUSTIN, TX
ZIP 78705
Phone: (512) 786-0467
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BRENT WHEELER is a mental health counselor in Austin, TX. BRENT WHEELER NPI is 1376786459. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1907 N. LAMAR BLVD
SUITE 354
AUSTIN, TX
ZIP 78705
Phone: (512) 786-0467
Fax: (254) 519-3464

The provider's authorized official is Brent Wayne Wheeler .
The authorized official title is Lpc, Lssp, Lpa and has the following contact phone number (512) 786-0467.

The enumeration date for this NPI number is 4/20/2009 and was last updated on 4/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			No
2	103TS0200X	Psychologist	School			No
3	106H00000X	Marriage & Family Therapist				No
4	101YM0800X	Counselor	Mental Health	15744	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5301LC	OTHER	TEXAS	BLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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