Provider Demographics
NPI:1538674106
Name:GORDON, BRITTANY (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:GORDON
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12614 SKYVIEW MANOR DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-8114
Mailing Address - Country:US
Mailing Address - Phone:305-450-9339
Mailing Address - Fax:
Practice Address - Street 1:12340 JONES RD STE 290
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3129
Practice Address - Country:US
Practice Address - Phone:832-756-2749
Practice Address - Fax:859-201-1151
Is Sole Proprietor?:No
Enumeration Date:2017-12-05
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20287101YM0800X
TX92392101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19884300Medicaid