Provider Demographics
NPI:1255077905
Name:WEBBER, BRITTANY COGGIN (MA, LCMHCA, LSC, NCC)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:COGGIN
Last Name:WEBBER
Suffix:
Gender:F
Credentials:MA, LCMHCA, LSC, NCC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:LEE
Other - Last Name:COGGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8145 ARDREY KELL ROAD SUITE 206
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277
Mailing Address - Country:US
Mailing Address - Phone:980-355-9503
Mailing Address - Fax:
Practice Address - Street 1:8145 ARDREY KELL ROAD SUITE 206
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277
Practice Address - Country:US
Practice Address - Phone:980-355-9503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-06
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1172560101YS0200X
NCA17532101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool