Provider Demographics
NPI:1255176053
Name:LEWIS, BRITTNEY NICOLE (NCC)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:NICOLE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:NICOLE
Other - Last Name:HELMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 SMITH SAPP RD
Mailing Address - Street 2:
Mailing Address - City:COCHRAN
Mailing Address - State:GA
Mailing Address - Zip Code:31014-2755
Mailing Address - Country:US
Mailing Address - Phone:478-954-1649
Mailing Address - Fax:
Practice Address - Street 1:299 COOPER RD STE B
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-2579
Practice Address - Country:US
Practice Address - Phone:770-217-4336
Practice Address - Fax:770-686-3429
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional