Courtney Brosang Holbrook, LPC
Individual provider Active NPI Professional Counselor · Fort Worth, TX
NPI 1497560080 · NPPES record last updated Feb 11, 2025
Key facts
- NPI
- 1497560080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 84116 (TX)
- Practice address
- 3815 Lisbon St Ste 202
Fort Worth, TX 76107-5673 - Phone
- (682) 719-5859
- NPI assigned
- Feb 11, 2025
- 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 |
|---|---|---|---|
| 84116 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 84116 | TX | Yes |
Addresses
Primary practice location
3815 Lisbon St Ste 202
Fort Worth, TX 76107-5673
Mailing address
306 Spyglass Dr
Willow Park, TX 76008-3150
Phone (682) 287-0252
Other providers in Fort Worth, TX
- Christopher S Hohmann
- Bailey Rae Hoke
- Matthew Hoke
- Michele Hoklas
- Kristen Holbeck
- Christina Grey Holbrooks
- Aubrey Holcomb
- Robert A Holcomb
- Jordan L Holcombe
- Crystal Renee Holden
All providers in Fort Worth, 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 Feb 11, 2025. 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.