Provider Demographics
NPI:1013220011
Name:NEELEY, BRITTANY LYNN (LPC)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:LYNN
Last Name:NEELEY
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 S CARAWAY RD STE 113
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-4403
Mailing Address - Country:US
Mailing Address - Phone:870-819-2076
Mailing Address - Fax:833-463-2401
Practice Address - Street 1:1000 S CARAWAY RD STE 113
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4403
Practice Address - Country:US
Practice Address - Phone:870-819-2076
Practice Address - Fax:833-463-2401
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1401005101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR182510795Medicaid
AR5CC83OtherBCBS