Bodenhamer, Brook Elizabeth

Bodenhamer, Brook Elizabeth is an sole proprietor health care provider with primary practice located at 204 W Trailmoor Dr , Fredericksburg TX 78624-3423. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bodenhamer, Brook Elizabeth can be contacted via phone (210) 818-8819.

Contact Information

Primary practice address
204 W Trailmoor Dr Fredericksburg TX 78624-3423
Phone: (210) 818-8819
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 52375 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13434 Texas

Profile Details

NPI number 1205455664
LBN Legal business name Bodenhamer, Brook Elizabeth
Credentials LCSW, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2020
Last updated Apr 15th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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