Provider Demographics
NPI:1265860183
Name:ALLEN, BRITTNEY CHARMAINE (BA)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:CHARMAINE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 1/2 N WOODLAND BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-4268
Mailing Address - Country:US
Mailing Address - Phone:386-734-6355
Mailing Address - Fax:386-734-6377
Practice Address - Street 1:118 1/2 N WOODLAND BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-4268
Practice Address - Country:US
Practice Address - Phone:386-734-6355
Practice Address - Fax:386-734-6377
Is Sole Proprietor?:No
Enumeration Date:2013-10-31
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator