Provider Demographics
NPI:1548580863
Name:HUDSPETH, BRIAN (LPC, LCDC)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:HUDSPETH
Suffix:
Gender:M
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 N 3RD ST
Mailing Address - Street 2:SUITE 604
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-5833
Mailing Address - Country:US
Mailing Address - Phone:325-518-6243
Mailing Address - Fax:888-245-2926
Practice Address - Street 1:1049 N 3RD ST
Practice Address - Street 2:SUITE 604
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-5833
Practice Address - Country:US
Practice Address - Phone:325-518-6243
Practice Address - Fax:888-245-2926
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73819101YM0800X, 101YP2500X
TX1532101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional