Provider Demographics
NPI:1083249841
Name:HUMPHRIES, BRITTANY ANN (LPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:HUMPHRIES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2654 VERNONTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOCTON
Mailing Address - State:AL
Mailing Address - Zip Code:35184-3563
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:565 BIBB LN
Practice Address - Street 2:
Practice Address - City:BRENT
Practice Address - State:AL
Practice Address - Zip Code:35034-4040
Practice Address - Country:US
Practice Address - Phone:205-926-5252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4119101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health