Provider Demographics
NPI:1427736305
Name:BRITTANY PROULX COUNSELING LLC
Entity type:Organization
Organization Name:BRITTANY PROULX COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:PROULX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-654-0037
Mailing Address - Street 1:206 ROWE AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-3244
Mailing Address - Country:US
Mailing Address - Phone:774-654-0037
Mailing Address - Fax:
Practice Address - Street 1:206 ROWE AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-3244
Practice Address - Country:US
Practice Address - Phone:774-654-0037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty