Provider Demographics
NPI:1780203323
Name:HOUGH, BRITTNEY (LSW)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:HOUGH
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8325 E SOUTHPORT RD STE 120
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46259-6834
Mailing Address - Country:US
Mailing Address - Phone:317-528-1119
Mailing Address - Fax:
Practice Address - Street 1:8325 E SOUTHPORT RD STE 120
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46259-6834
Practice Address - Country:US
Practice Address - Phone:317-528-1119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33006659A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker