Provider Demographics
NPI:1811881089
Name:GLASBRENNER, EMMETT BLAY (LMSW, LCDC-I)
Entity type:Individual
Prefix:
First Name:EMMETT
Middle Name:BLAY
Last Name:GLASBRENNER
Suffix:
Gender:M
Credentials:LMSW, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 LAKEVIEW PKWY STE 301
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4179
Mailing Address - Country:US
Mailing Address - Phone:214-319-8706
Mailing Address - Fax:
Practice Address - Street 1:165 LADY BIRD LN
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1682
Practice Address - Country:US
Practice Address - Phone:563-495-0377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72986101YA0400X
TX114704101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)