Provider Demographics
NPI:1568851673
Name:DANIEL, BRITTANY A (MA, LPC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:A
Last Name:DANIEL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19111 PLANTAIN DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3919
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16100 CAIRNWAY DR
Practice Address - Street 2:SUITE 264
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3562
Practice Address - Country:US
Practice Address - Phone:832-277-5605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-13
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69347101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX343105801Medicaid