Provider Demographics
NPI:1912725433
Name:BRITT RIDDLE LLC
Entity type:Organization
Organization Name:BRITT RIDDLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:RIDDLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:502-709-9540
Mailing Address - Street 1:8009 NEW LA GRANGE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4791
Mailing Address - Country:US
Mailing Address - Phone:502-709-9540
Mailing Address - Fax:
Practice Address - Street 1:8009 NEW LA GRANGE RD STE 1
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4791
Practice Address - Country:US
Practice Address - Phone:502-709-9540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty