Roy Brady, LCSW
Social Worker, Clinical in Longview, TX. Individual provider (NPI-1).
NPI number1386533115
StatusActive
Last updated in NPPESJun 27, 2025
Details
- NPI
- 1386533115
- Entity type
- Individual (NPI-1)
- Name
- Roy Brady
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2025
- Certification date
- Jun 27, 2025
- Last updated
- Jun 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 25153 | TX | Yes |
Practice location
104 Melany LnLongview, TX 75605-8022
Phone 903-806-7376
Mailing address
104 Melany LnLongview, TX 75605-8022
Phone 903-806-7376
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