Theresa L Brunt, M.S., NCC, LPC-ASSOC

Individual provider Active NPI Professional Counselor · Angleton, TX

NPI 1831993617 · NPPES record last updated Apr 2, 2025

Key facts

NPI
1831993617
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
95728 (TX)
Practice address
305 E Mulberry St
Angleton, TX 77515-4733
Phone
(979) 848-0766
Fax
(979) 848-2136
NPI assigned
Apr 2, 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
95728TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 95728 TX Yes

Addresses

Primary practice location

305 E Mulberry St
Angleton, TX 77515-4733

Mailing address

305 E Mulberry St
Angleton, TX 77515-4733
Phone (979) 848-0766

Other providers in Angleton, TX

All providers in Angleton, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.