Provider Demographics
NPI:1194315499
Name:GARCIA-NIEVES, BRITTNEY A (SAC)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:A
Last Name:GARCIA-NIEVES
Suffix:
Gender:F
Credentials:SAC
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:A
Other - Last Name:MIZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SAC
Mailing Address - Street 1:3440 OAKWOOD HILLS PARKWAY
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-7698
Mailing Address - Country:US
Mailing Address - Phone:715-214-2525
Mailing Address - Fax:715-214-2515
Practice Address - Street 1:3440 OAKWOOD HILLS PARKWAY
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-7698
Practice Address - Country:US
Practice Address - Phone:715-214-2525
Practice Address - Fax:715-214-2515
Is Sole Proprietor?:No
Enumeration Date:2021-01-20
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18804-130101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)