Provider Demographics
NPI:1326415654
Name:COLLINS, BRITTANY LEE (PHD, LPC-S, LPCC,)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LEE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PHD, LPC-S, LPCC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3406 RED BAY CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:COLUMBRIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203
Mailing Address - Country:US
Mailing Address - Phone:937-952-2577
Mailing Address - Fax:937-534-1350
Practice Address - Street 1:3095 KETTERING BLVD
Practice Address - Street 2:
Practice Address - City:MORAINE
Practice Address - State:OH
Practice Address - Zip Code:45439-1983
Practice Address - Country:US
Practice Address - Phone:937-534-1572
Practice Address - Fax:937-534-1350
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-21
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1500508-TRNE101Y00000X
834751101YM0800X
MO2021018465101YM0800X
OHE.2102450101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor