Provider Demographics
NPI:1184202160
Name:REYNOLDS, BRITTANY INEZ-KRSYTAL (MS, LPC, NCC)
Entity Type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:INEZ-KRSYTAL
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 PACIFIC AVE STE 12020
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-4529
Mailing Address - Country:US
Mailing Address - Phone:214-233-6019
Mailing Address - Fax:
Practice Address - Street 1:1910 PACIFIC AVE STE 12020
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-4529
Practice Address - Country:US
Practice Address - Phone:214-233-6019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84374101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health