Provider Demographics
NPI:1740648716
Name:LANE, BRITTANY D (MS LPC)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:D
Last Name:LANE
Suffix:
Gender:F
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 1:6410 STONEHURST DR
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-2169
Mailing Address - Country:US
Mailing Address - Phone:937-707-9548
Mailing Address - Fax:
Practice Address - Street 1:6410 STONEHURST DR
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-2169
Practice Address - Country:US
Practice Address - Phone:937-707-9548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1400654101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health