Provider Demographics
NPI:1205230869
Name:FRAVEL, BRITTANY (LISW-S)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:FRAVEL
Suffix:
Gender:
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 E WASHINGTON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-3326
Mailing Address - Country:US
Mailing Address - Phone:330-636-5000
Mailing Address - Fax:
Practice Address - Street 1:803 E WASHINGTON ST STE 200
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-3326
Practice Address - Country:US
Practice Address - Phone:330-636-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.11006351041C0700X
OHI.1700103-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical