Provider Demographics
NPI:1114507217
Name:MILES JACQUOTE, BRITTANY JOYCE (LMFT, LCDC)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:JOYCE
Last Name:MILES JACQUOTE
Suffix:
Gender:F
Credentials:LMFT, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2435 N CENTRAL EXPY STE 1200
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2747
Mailing Address - Country:US
Mailing Address - Phone:940-441-5510
Mailing Address - Fax:940-283-0170
Practice Address - Street 1:12532 LITTLEFIELD DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-2315
Practice Address - Country:US
Practice Address - Phone:940-441-5510
Practice Address - Fax:940-283-0170
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-12
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202524106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist