Provider Demographics
NPI:1326532474
Name:WASHINGTON, BRITTNEY (LPC, LCDC- INTERN)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:LPC, LCDC- INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25807 WESTHEIMER PKWY STE 326
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5333
Mailing Address - Country:US
Mailing Address - Phone:832-862-5950
Mailing Address - Fax:346-396-3590
Practice Address - Street 1:25807 WESTHEIMER PKWY STE 326
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5333
Practice Address - Country:US
Practice Address - Phone:832-862-5950
Practice Address - Fax:346-396-3590
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-20
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 171M00000X
TX75571251B00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX396202901Medicaid