Healthcare Provider Details

I. General information

NPI: 1295304764
Provider Name (Legal Business Name): BRITTANY BELT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY PUCKETT

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1253 PARIS RD STE A
MAYFIELD KY
42066-4989
US

IV. Provider business mailing address

1253 PARIS RD STE A
MAYFIELD KY
42066-4989
US

V. Phone/Fax

Practice location:
  • Phone: 270-247-2455
  • Fax:
Mailing address:
  • Phone: 270-247-2455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW00001150
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: