Provider Demographics
NPI:1326736125
Name:ALLEN, BRITTANY LEE (BA, MA, QMHP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEE
Last Name:ALLEN
Suffix:
Gender:
Credentials:BA, MA, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 LACLAIR ST
Mailing Address - Street 2:
Mailing Address - City:COOS BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97420-2988
Mailing Address - Country:US
Mailing Address - Phone:541-808-4715
Mailing Address - Fax:
Practice Address - Street 1:2323 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:OR
Practice Address - Zip Code:97459-2605
Practice Address - Country:US
Practice Address - Phone:541-808-4715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-28
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No171M00000XOther Service ProvidersCase Manager/Care Coordinator