Provider Demographics
NPI:1154733038
Name:BORGSTEADT, BREE (LCSW)
Entity type:Individual
Prefix:
First Name:BREE
Middle Name:
Last Name:BORGSTEADT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BREE
Other - Middle Name:ANNA
Other - Last Name:COFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11615 ANGUS RD
Mailing Address - Street 2:STE. 117A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4078
Mailing Address - Country:US
Mailing Address - Phone:512-695-9283
Mailing Address - Fax:512-456-5966
Practice Address - Street 1:11615 ANGUS RD
Practice Address - Street 2:STE. 117A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4078
Practice Address - Country:US
Practice Address - Phone:512-695-9283
Practice Address - Fax:512-456-5966
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX404911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical