Provider Demographics
NPI:1023692670
Name:BRITTAIN, BRANDI ANN (LCSW)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:ANN
Last Name:BRITTAIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11
Mailing Address - Street 2:
Mailing Address - City:ORE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75683-0011
Mailing Address - Country:US
Mailing Address - Phone:903-720-5863
Mailing Address - Fax:
Practice Address - Street 1:23403 KINGSLAND BLVD APT 11210
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1901
Practice Address - Country:US
Practice Address - Phone:903-720-5863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0257851041C0700X
TX629381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical