Healthcare Provider Details

I. General information

NPI: 1952838336
Provider Name (Legal Business Name): BRITTANY COLEMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 BIG BEND RANCH ROAD
WADSWORTH NV
89442
US

IV. Provider business mailing address

4570 ROSSER FARMS PKWY
BESSEMER AL
35022-6211
US

V. Phone/Fax

Practice location:
  • Phone: 775-352-6856
  • Fax:
Mailing address:
  • Phone: 205-370-9918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3522
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: