Provider Demographics
NPI:1992915185
Name:REYNOLDS-BROWN, BARBARA LOUISE (MED , LPC-S, NBBC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LOUISE
Last Name:REYNOLDS-BROWN
Suffix:
Gender:F
Credentials:MED , LPC-S, NBBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7408 NOHL RANCH RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-8184
Mailing Address - Country:US
Mailing Address - Phone:817-292-6238
Mailing Address - Fax:
Practice Address - Street 1:7408 NOHL RANCH RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-8184
Practice Address - Country:US
Practice Address - Phone:817-292-6238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6149101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional