Provider Demographics
NPI:1982368148
Name:SKRIVANEK, BROOKE ELIZABETH (LMFT)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:ELIZABETH
Last Name:SKRIVANEK
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:ELIZABETH
Other - Last Name:TROJACEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT-A
Mailing Address - Street 1:1240 KELLER PKWY
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3687
Mailing Address - Country:US
Mailing Address - Phone:531-208-1350
Mailing Address - Fax:
Practice Address - Street 1:1240 KELLER PKWY
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3687
Practice Address - Country:US
Practice Address - Phone:531-208-1350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204179101Y00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor