Provider Demographics
NPI:1689112971
Name:ALLEN, BRITTANY MAIRE
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MAIRE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BIRTTANY
Other - Middle Name:
Other - Last Name:HAYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:411 PRIVATE ROAD 288
Mailing Address - Street 2:
Mailing Address - City:HONEY GROVE
Mailing Address - State:TX
Mailing Address - Zip Code:75446-5417
Mailing Address - Country:US
Mailing Address - Phone:903-517-7930
Mailing Address - Fax:
Practice Address - Street 1:411 PRIVATE ROAD 288
Practice Address - Street 2:
Practice Address - City:HONEY GROVE
Practice Address - State:TX
Practice Address - Zip Code:75446-5417
Practice Address - Country:US
Practice Address - Phone:903-517-7930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker