Maria A Sandra Brady, LPC
Individual provider Active NPI Professional Counselor · Bastrop, TX
NPI 1225296304 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1225296304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 61478 (TX)
- Practice address
- 1011 Alley a St
Bastrop, TX 78602-3240 - Phone
- (512) 797-0109
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61478 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61478 | TX | Yes |
Addresses
Primary practice location
1011 Alley a St
Bastrop, TX 78602-3240
Mailing address
219 Kona Dr
Bastrop, TX 78602-4637
Phone (512) 797-0109
Other providers in Bastrop, TX
- Bluebonnet Home Health Care of Texas, Inc.
- Bluebonnet OB GYN
- Brandyn K. Bolling
- Jennifer Bourquin
- Mark Ellen Bowles
- Lesley Marie Bragg
- Brainwell Psychiatry and Mental Health PLLC
- Ashley Brancato
- Mark Brent
- Nathan John Brewerton
All providers in Bastrop, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2008. 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.