Provider Demographics
NPI:1528558285
Name:BUCHANAN, BRITTANY BOND (LMFT)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:BOND
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4212 HARLEY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-9626
Mailing Address - Country:US
Mailing Address - Phone:903-746-4681
Mailing Address - Fax:
Practice Address - Street 1:609 CHEEK SPARGER RD STE 104
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-3882
Practice Address - Country:US
Practice Address - Phone:903-746-4681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202382106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist