Provider Demographics
NPI:1194240051
Name:THOMPSON, BRITTNEY MARIE-BROWN (LPC)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:MARIE-BROWN
Last Name:THOMPSON
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 1:202 MANHATTAN BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-9586
Mailing Address - Country:US
Mailing Address - Phone:972-898-3716
Mailing Address - Fax:
Practice Address - Street 1:18601 LYNDON B JOHNSON FWY STE 711
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6436
Practice Address - Country:US
Practice Address - Phone:972-898-3716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73732101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional