Provider Demographics
NPI:1023400264
Name:LOVELL, BRITTNEY (ALC, MA)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:LOVELL
Suffix:
Gender:F
Credentials:ALC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 15TH ST N
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-1845
Mailing Address - Country:US
Mailing Address - Phone:205-777-4022
Mailing Address - Fax:
Practice Address - Street 1:404 15TH ST N
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-1845
Practice Address - Country:US
Practice Address - Phone:205-777-4022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC2426A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor