Provider Demographics
NPI:1477208833
Name:BRISWALTER, BRITTANY (MS, LPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:BRISWALTER
Suffix:
Gender:
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 N MAIN ST STE 217
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-3257
Mailing Address - Country:US
Mailing Address - Phone:501-605-2798
Mailing Address - Fax:
Practice Address - Street 1:119 N MAIN ST STE 217
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-3257
Practice Address - Country:US
Practice Address - Phone:972-775-8966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87345101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor