Provider Demographics
NPI:1871038992
Name:PAWLAK, BRITTANY (LPC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:PAWLAK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 MONROE ST
Mailing Address - Street 2:SUITE 103B
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2731
Mailing Address - Country:US
Mailing Address - Phone:419-885-5952
Mailing Address - Fax:419-885-7630
Practice Address - Street 1:5600 MONROE ST
Practice Address - Street 2:SUITE 103B
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2731
Practice Address - Country:US
Practice Address - Phone:419-885-5952
Practice Address - Fax:419-885-7630
Is Sole Proprietor?:No
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1500467101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional