Healthcare Provider Details

I. General information

NPI: 1023227568
Provider Name (Legal Business Name): DEANNE R BRIGGS LPC, CAC III
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 SIXTH ST
TRAVERSE CITY MI
49684-2386
US

IV. Provider business mailing address

8931 HURON ST
THORNTON CO
80260-6806
US

V. Phone/Fax

Practice location:
  • Phone: 231-935-6380
  • Fax: 231-935-6920
Mailing address:
  • Phone: 303-853-3614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACC-6909
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-5192
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401013468
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: