Brad Cullum Counseling PLLC
Organization Active NPI Clinical Social Worker · Lantana, TX
NPI 1104438795 · NPPES record last updated Aug 17, 2020
Key facts
- NPI
- 1104438795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BRAD CULLUM COUNSELING PLLC
- Practice address
- 142 Old Town Blvd N Ste 200
Lantana, TX 76226-3954 - Phone
- (940) 294-7061
- NPI assigned
- Aug 17, 2020
- Organization subpart
- No
Authorized official
- Name
- Brad Cullum
- Title
- President
- Phone
- (940) 294-7061
Practitioners 6
-
Courtney Erica Corniuk, LMFT
-
Crystal Alane Goodwin Oehlers, LPC-ASSOCIATE
National Provider Directory
Locations
142 Old Town Blvd N
Ste 200
Lantana, TX 76226
Phone (940) 294-7061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
142 Old Town Blvd N Ste 200
Lantana, TX 76226-3954
Mailing address
142 Old Town Blvd N Ste 200
Lantana, TX 76226-3954
Phone (940) 294-7061
Other names
- Harvest Counseling and Wellness
Other providers in Lantana, TX
- Nnenna Nkechi Akalonu
- Portia Anderson
- Aspen Residential Services LLC
- Ned Bartlebaugh
- Seallie Bonnette
- Jacqueline Landry Britton
- Steven Brubaker
- Simy Chandy
- Cinch the Knot Christian Counseling Services
- Melody Coates
All providers in Lantana, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.