Healthcare Provider Details

I. General information

NPI: 1770151557
Provider Name (Legal Business Name): BRITTANY ELIZABETH BUCHANNON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 04/05/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 BONHOMME AVE STE 1800
CLAYTON MO
63105-1931
US

IV. Provider business mailing address

2885 W BATTLEFIELD ST
SPRINGFIELD MO
65807-3952
US

V. Phone/Fax

Practice location:
  • Phone: 636-202-0693
  • Fax: 855-568-2494
Mailing address:
  • Phone: 417-761-5214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2022028807
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: