Provider Demographics
NPI:1497386981
Name:RENLEY, BRIANNE (LPCC, CAC II)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:RENLEY
Suffix:
Gender:F
Credentials:LPCC, CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 VIRGINIA DALE DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-4034
Mailing Address - Country:US
Mailing Address - Phone:505-440-5191
Mailing Address - Fax:
Practice Address - Street 1:706 S COLLEGE AVE STE 201
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-9860
Practice Address - Country:US
Practice Address - Phone:877-212-1238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0016181101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health