| Doctor Name: | BRENT DAVID CUMBIE |
| NPI Number: | 1144354960 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LPC |
| License Number: | 17729 |
| Business Practice Address: | 6010 Walker St Haltom City, TX - 761174216 |
| Business Phone Number: | 8175475417 |
| Business Fax Number: | 8175475421 |
| Mailing Address: | 5809 Fender Ct, WATAUGA |
| State: | TX |
| Postal Code: | 761482610 |
| Phone Number: | 8176569571 |
| Fax Number: | 8174853094 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 17729 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |