Provider Demographics
NPI:1033513809
Name:ANDERS, BRITTANY RACHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:RACHELLE
Last Name:ANDERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WILCOX CV
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-7471
Mailing Address - Country:US
Mailing Address - Phone:501-283-2218
Mailing Address - Fax:
Practice Address - Street 1:1024 W COURT ST STE B
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-4130
Practice Address - Country:US
Practice Address - Phone:870-205-5555
Practice Address - Fax:870-205-5556
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
AR7292-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator