| Doctor Name: | MICHAEL BROCHSTEIN |
| NPI Number: | 1215396361 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 13364 |
| Business Practice Address: | 20514 Highway 6 Manvel, TX - 775783810 |
| Business Phone Number: | 2816218986 |
| Business Fax Number: | |
| Mailing Address: | 20514 Highway 6, MANVEL |
| State: | TX |
| Postal Code: | 775783810 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2016 |
| NPI Last Update Date: | 02/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 13364 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |