Brooke Hickey, LPC
Individual provider Active NPI Professional Counselor · Riviera, TX
NPI 1295429082 · NPPES record last updated Jun 6, 2023
Key facts
- NPI
- 1295429082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 86180 (TX)
- Practice address
- 5966 S Highway 77
Riviera, TX 78379-3598 - Phone
- (361) 296-4051
- NPI assigned
- Jun 6, 2023
- 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 |
|---|---|---|---|
| 86180 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 86180 | TX | Yes |
Addresses
Primary practice location
5966 S Highway 77
Riviera, TX 78379-3598
Mailing address
PO Box 253
Riviera, TX 78379-0253
Phone (361) 296-4051
Other providers in Riviera, TX
All providers in Riviera, 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 Jun 6, 2023. 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.