Provider Demographics
NPI:1194183236
Name:BALL, BRITTNEY (LPC)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:BALL
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 1:344 SOUTH DR
Mailing Address - Street 2:A
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5066
Mailing Address - Country:US
Mailing Address - Phone:318-352-5757
Mailing Address - Fax:
Practice Address - Street 1:344 SOUTH DR
Practice Address - Street 2:A
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5066
Practice Address - Country:US
Practice Address - Phone:318-352-5757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional