Organization
BRAN NEW GENESIS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDELYN L WILLIAMS MA, MS, LPC (LICENSED PROFESSIONAL COUNSELOR)
(800) 905-1240
Entity
Organization
Contact information
Practice address
6201 BONHOMME RD, 460-S, HOUSTON, TX 77036-4365
(800) 905-1240
(888) 972-6447
Mailing address
11623 OAK LAKE PARK DR, SUGAR LAND, TX 77498-7010
(800) 905-1240
(888) 972-6447
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68759
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321199701
—
TX
Enumeration date
03/19/2014
Last updated
03/19/2014
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