Provider Demographics
NPI:1083393789
Name:LOUCKS, BRITTANY NOEL (LPC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:NOEL
Last Name:LOUCKS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:NOEL
Other - Last Name:RASK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5400 ROCK CHALK DR APT 14206
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-5095
Mailing Address - Country:US
Mailing Address - Phone:785-764-1834
Mailing Address - Fax:
Practice Address - Street 1:12351 W 96TH TER STE 108
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-4400
Practice Address - Country:US
Practice Address - Phone:913-491-6876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04375101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional