Provider Demographics
NPI:1073236675
Name:COLES, BRITTANY RENAY (LPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:RENAY
Last Name:COLES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:RENAY
Other - Last Name:COLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, NCC, LPC
Mailing Address - Street 1:2630 FIVE STAR CT
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-8543
Mailing Address - Country:US
Mailing Address - Phone:678-523-5383
Mailing Address - Fax:
Practice Address - Street 1:1838 OLD NORCROSS RD STE 400
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-8804
Practice Address - Country:US
Practice Address - Phone:470-795-7695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC008766101YP2500X
GALPC015407101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional