Provider Demographics
NPI:1437672847
Name:BYRNES, BRITTNEY GRACE (LPC)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:GRACE
Last Name:BYRNES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:GRACE
Other - Last Name:DELP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2326 16TH ST
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-4824
Mailing Address - Country:US
Mailing Address - Phone:309-283-1219
Mailing Address - Fax:309-743-2277
Practice Address - Street 1:2326 16TH ST
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-4824
Practice Address - Country:US
Practice Address - Phone:309-283-1219
Practice Address - Fax:309-743-2277
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.011230101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health