Provider Demographics
NPI:1437401726
Name:BRITTAIN, CORI (LMHC)
Entity Type:Individual
Prefix:
First Name:CORI
Middle Name:
Last Name:BRITTAIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 E MAIN ST STE F
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-1900
Mailing Address - Country:US
Mailing Address - Phone:513-600-6217
Mailing Address - Fax:813-435-2033
Practice Address - Street 1:288 TRIPLE CROWN DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036
Practice Address - Country:US
Practice Address - Phone:513-600-6217
Practice Address - Fax:813-435-2033
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13220101YM0800X
171M00000X
OHE.1000242101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator