Provider Demographics
NPI:1023558749
Name:HICKS, BRITTANY NICOLE (MA)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:NICOLE
Last Name:HICKS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:NICOLE
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, NCC
Mailing Address - Street 1:400 TEXAS ST STE 1050-06
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-3525
Mailing Address - Country:US
Mailing Address - Phone:318-820-2022
Mailing Address - Fax:318-771-7852
Practice Address - Street 1:400 TEXAS ST STE 1050-06
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-3525
Practice Address - Country:US
Practice Address - Phone:318-820-2022
Practice Address - Fax:318-771-7852
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6983101Y00000X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor