Provider Demographics
NPI:1639797988
Name:ALLEY, BRITTANY (LPC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:ALLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 RIVERSIDE AVE UNIT 200
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-4383
Mailing Address - Country:US
Mailing Address - Phone:970-658-0561
Mailing Address - Fax:
Practice Address - Street 1:120 S BRYAN AVE APT 4
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-2366
Practice Address - Country:US
Practice Address - Phone:740-310-1676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0016257101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty