Most Relevant Information
Provider Data
| NPI Number: | 1003571498 |
| Provider Name: | BRADY PRESCOTT MA, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 82819 |
Most Important Dates
| Enumeration Date: | 11/01/2021 |
| Last Updated: | 11/01/2021 |
Provider Practice Location
500 S TAYLOR ST STE 600
AMARILLO
TX
791012401
Practice Location Phone/Fax
| Phone: | 8063165595 |
| Fax: |
Provider Mailing Location
500 S TAYLOR ST STE 600
AMARILLO
TX
791012401
Provider Mailing Phone/Fax
| Phone: | 8063165595 |
| Fax: |