Provider Demographics
NPI:1699356550
Name:ORTIZ, BRITTANY LEANN (LMFT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEANN
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:LEANN
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:65753 PIERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-3067
Mailing Address - Country:US
Mailing Address - Phone:760-773-6880
Mailing Address - Fax:
Practice Address - Street 1:15685 VIA VIS
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-6983
Practice Address - Country:US
Practice Address - Phone:760-409-1793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93120106H00000X
CA125848106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist