Provider Demographics
NPI:1053080481
Name:BRITTON, LUCINDA MARIE (ALC, NCC)
Entity Type:Individual
Prefix:
First Name:LUCINDA
Middle Name:MARIE
Last Name:BRITTON
Suffix:
Gender:F
Credentials:ALC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 4TH AVE SE STE 103
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4953
Mailing Address - Country:US
Mailing Address - Phone:256-303-9334
Mailing Address - Fax:
Practice Address - Street 1:1629 4TH AVE SE STE 103
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4953
Practice Address - Country:US
Practice Address - Phone:256-303-9334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3859A101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health