Individual
MS. MARTHA WILEY BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
100 N CENTRAL EXPY, SUITE 614, RICHARDSON, TX 75080-5332
(972) 889-2487
(974) 889-2482
Mailing address
3533 LOUIS DR, PLANO, TX 75023-1117
(972) 208-6487
(972) 889-2482
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
11428
TX
106H00000X
Marriage & Family Therapist
Primary
0003444
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003849LC
BCBS
TX
01
—
126325
VALUE OPTION PROVIDER NUM
TX
Enumeration date
08/09/2006
Last updated
09/11/2025
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