Provider Demographics
NPI:1104611896
Name:BELMONTES, BRISA LEONOR (LPC ASSOCIATE)
Entity type:Individual
Prefix:MRS
First Name:BRISA
Middle Name:LEONOR
Last Name:BELMONTES
Suffix:
Gender:
Credentials:LPC ASSOCIATE
Other - Prefix:MS
Other - First Name:BRISA
Other - Middle Name:LEONOR
Other - Last Name:CASTRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13203 AVENUE S
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2356
Mailing Address - Country:US
Mailing Address - Phone:915-493-4684
Mailing Address - Fax:
Practice Address - Street 1:5504 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-4137
Practice Address - Country:US
Practice Address - Phone:806-855-3050
Practice Address - Fax:806-256-6977
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96089101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty