Provider Demographics
NPI:1699435131
Name:GAROUTTE, BRITTANY LAYNE (LPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LAYNE
Last Name:GAROUTTE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15330 E 89TH ST N
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-8520
Mailing Address - Country:US
Mailing Address - Phone:479-409-2124
Mailing Address - Fax:
Practice Address - Street 1:10310 N 138TH EAST AVE STE 201
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-4641
Practice Address - Country:US
Practice Address - Phone:918-516-8128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-24
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10592101YP2500X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional