Doctor Name: | BRITTANY COLEMAN |
NPI Number: | 1679802557 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 63769 |
Business Practice Address: | 19115 Fm 2252 Ste 12 Garden Ridge, TX - 782662578 |
Business Phone Number: | 2108457949 |
Business Fax Number: | 2105452504 |
Mailing Address: | 19115 Fm 2252, Ste.12 GARDEN RIDGE |
State: | TX |
Postal Code: | 782662577 |
Phone Number: | 2108457949 |
Fax Number: | 2105452504 |
NPI Enumeration Date: | 12/23/2009 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 63769 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |