Provider Demographics
NPI:1649572165
Name:LYLE, BRITTNY C (MAMFT, LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRITTNY
Middle Name:C
Last Name:LYLE
Suffix:
Gender:F
Credentials:MAMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 FOUNTAIN LAKES DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-4788
Mailing Address - Country:US
Mailing Address - Phone:404-451-2113
Mailing Address - Fax:
Practice Address - Street 1:1302 FOUNTAIN LAKES DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-4788
Practice Address - Country:US
Practice Address - Phone:470-888-1955
Practice Address - Fax:478-796-8025
Is Sole Proprietor?:No
Enumeration Date:2010-12-03
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor