Provider Demographics
NPI:1447124961
Name:HARBISON, BROOKS ROBERT
Entity type:Individual
Prefix:
First Name:BROOKS
Middle Name:ROBERT
Last Name:HARBISON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 BURNET RD APT 345
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-2864
Mailing Address - Country:US
Mailing Address - Phone:512-922-7201
Mailing Address - Fax:
Practice Address - Street 1:6701 BURNET RD APT 345
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-2864
Practice Address - Country:US
Practice Address - Phone:512-922-7201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40566103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist