Provider Demographics
NPI:1457109753
Name:LANE, BRITNY NICOLE (LPC-C)
Entity Type:Individual
Prefix:
First Name:BRITNY
Middle Name:NICOLE
Last Name:LANE
Suffix:
Gender:F
Credentials:LPC-C
Other - Prefix:
Other - First Name:BRITNY
Other - Middle Name:NICOLE
Other - Last Name:STEELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-C
Mailing Address - Street 1:812 FIREFORK AVE
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-0504
Mailing Address - Country:US
Mailing Address - Phone:405-837-5091
Mailing Address - Fax:
Practice Address - Street 1:416 S MUSTANG RD STE B
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-7314
Practice Address - Country:US
Practice Address - Phone:405-837-5091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPCCANDIDATE12166101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty