Provider Demographics
NPI:1104585504
Name:CROWDER, BRITTANY GARCIE (MS, PLPC)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:GARCIE
Last Name:CROWDER
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 AW DR
Mailing Address - Street 2:
Mailing Address - City:STONEWALL
Mailing Address - State:LA
Mailing Address - Zip Code:71078-9619
Mailing Address - Country:US
Mailing Address - Phone:318-820-1294
Mailing Address - Fax:
Practice Address - Street 1:185 BURT BLVD
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:LA
Practice Address - Zip Code:71006-4904
Practice Address - Country:US
Practice Address - Phone:318-935-5007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-13
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8955101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional