Organization
EMERALD PATH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE BROCKMAN LPC (COUNSELOR)
(737) 232-7439
Entity
Organization
Contact information
Practice address
1716 CONSTANTINO CIR UNIT B, AUSTIN, TX 78745-4171
(737) 232-7439
Mailing address
1716 CONSTANTINO CIR UNIT B, AUSTIN, TX 78745-4171
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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