Provider Demographics
NPI:1295012573
Name:WHALLEN, BRITTANY (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:WHALLEN
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:NEECE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:4131 SPICEWOOD SPRINGS RD STE M1
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8652
Mailing Address - Country:US
Mailing Address - Phone:512-814-6027
Mailing Address - Fax:512-306-8978
Practice Address - Street 1:4131 SPICEWOOD SPRINGS RD STE M1
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8652
Practice Address - Country:US
Practice Address - Phone:512-814-6027
Practice Address - Fax:512-306-8978
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201534106H00000X
TX66343101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist