Provider Demographics
NPI:1679802557
Name:COLEMAN, BRITTANY (MA, LPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19115 FM 2252
Mailing Address - Street 2:STE.12
Mailing Address - City:GARDEN RIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:78266-2577
Mailing Address - Country:US
Mailing Address - Phone:210-845-7949
Mailing Address - Fax:210-545-2504
Practice Address - Street 1:19115 FM 2252 STE 12
Practice Address - Street 2:
Practice Address - City:GARDEN RIDGE
Practice Address - State:TX
Practice Address - Zip Code:78266-2578
Practice Address - Country:US
Practice Address - Phone:210-845-7949
Practice Address - Fax:210-545-2504
Is Sole Proprietor?:No
Enumeration Date:2009-12-23
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63769101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional