Provider Demographics
NPI:1811376817
Name:MEREDITH, BRITTANY (LCSW-S)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:MEREDITH
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4145 BELT LINE RD STE 212331
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4324
Mailing Address - Country:US
Mailing Address - Phone:972-762-5442
Mailing Address - Fax:
Practice Address - Street 1:4145 BELT LINE RD STE 212331
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4324
Practice Address - Country:US
Practice Address - Phone:972-762-5442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-22
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62358101YM0800X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health