Provider Demographics
NPI:1073236675
Name:COLES, BRITTANY RENAY (MA, NCC, LAPC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:RENAY
Last Name:COLES
Suffix:
Gender:F
Credentials:MA, NCC, LAPC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:RENAY
Other - Last Name:COLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, NCC, LAPC
Mailing Address - Street 1:2630 FIVE STAR CT
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-8543
Mailing Address - Country:US
Mailing Address - Phone:678-523-5383
Mailing Address - Fax:
Practice Address - Street 1:3807 CLAIRMONT RD
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-4911
Practice Address - Country:US
Practice Address - Phone:770-457-5867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC008766101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional