Individual
BRANDIN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5250 S 31ST ST, TEMPLE, TX 76502-3513
(470) 725-4837
Mailing address
5250 S 31ST ST, TEMPLE, TX 76502-3513
(470) 725-4837
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203952
TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL
TX
Enumeration date
02/14/2023
Last updated
02/14/2023
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