Provider Demographics
NPI:1609490556
Name:HEALY, BRITTANY S (NLC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:S
Last Name:HEALY
Suffix:
Gender:F
Credentials:NLC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:S
Other - Last Name:STANFORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA- SCHOOL PSYCH
Mailing Address - Street 1:1290 CHAMBERS RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-7117
Mailing Address - Country:US
Mailing Address - Phone:719-424-9805
Mailing Address - Fax:
Practice Address - Street 1:1290 CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-7117
Practice Address - Country:US
Practice Address - Phone:719-494-2805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0110998101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CONLC.0110998OtherCOLORADO DEPARTMENT OF REGULATORY SERVICES