Provider Demographics
NPI:1225327133
Name:BROWN, BRITTANY ANNE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ANNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:KEMNITZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC - IT
Mailing Address - Street 1:1075 N ELM ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:PLATTEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53818-1205
Mailing Address - Country:US
Mailing Address - Phone:608-348-4060
Mailing Address - Fax:608-348-4191
Practice Address - Street 1:1075 N ELM ST
Practice Address - Street 2:SUITE 120
Practice Address - City:PLATTEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53818-1205
Practice Address - Country:US
Practice Address - Phone:608-348-4060
Practice Address - Fax:608-348-4191
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1022-226390200000X
WI6892-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1225327133Medicaid