Provider Demographics
NPI:1568200111
Name:KEEZEL, BRANDI ASTON (LPC)
Entity type:Individual
Prefix:MS
First Name:BRANDI
Middle Name:ASTON
Last Name:KEEZEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:MICHELLE
Other - Last Name:ASTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:8637 BEARDEN LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-7025
Mailing Address - Country:US
Mailing Address - Phone:817-253-2160
Mailing Address - Fax:
Practice Address - Street 1:8637 BEARDEN LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-7025
Practice Address - Country:US
Practice Address - Phone:817-253-2160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75174101YS0200X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool