Healthcare Provider Details

I. General information

NPI: 1841019650
Provider Name (Legal Business Name): BRITTANY NICOLE HARRIS LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 SPACE PARK DR STE C
HOUSTON TX
77058-3469
US

IV. Provider business mailing address

1345 SPACE PARK DR STE C
HOUSTON TX
77058-3469
US

V. Phone/Fax

Practice location:
  • Phone: 281-333-2284
  • Fax: 281-333-0221
Mailing address:
  • Phone: 281-333-2284
  • Fax: 281-333-0221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number95472
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: