Provider Demographics
NPI:1033620471
Name:TROUTWINE, BRIANA M (LPC)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:M
Last Name:TROUTWINE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:
Other - Last Name:MCKENZIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5735 MEEKER RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-1186
Mailing Address - Country:US
Mailing Address - Phone:937-548-3806
Mailing Address - Fax:937-548-2087
Practice Address - Street 1:1101 JACKSON ST STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1396
Practice Address - Country:US
Practice Address - Phone:937-547-2319
Practice Address - Fax:937-548-4248
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2102385-SUPV101YP2500X
OHC.1700700101Y00000X
OH101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional