Provider Demographics
NPI:1336718303
Name:FELDHAUS, BRITTANY CHEYENNE (LMSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CHEYENNE
Last Name:FELDHAUS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 GREEN MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:BOYD
Mailing Address - State:TX
Mailing Address - Zip Code:76023-3344
Mailing Address - Country:US
Mailing Address - Phone:940-577-0584
Mailing Address - Fax:
Practice Address - Street 1:424 GREEN MEADOW DR
Practice Address - Street 2:
Practice Address - City:BOYD
Practice Address - State:TX
Practice Address - Zip Code:76023-3344
Practice Address - Country:US
Practice Address - Phone:940-577-0584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62335104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker