Provider Demographics
NPI:1750001095
Name:FALLS, BRITTANY J (LICSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:J
Last Name:FALLS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13219 DEASON CAMP RD
Mailing Address - Street 2:
Mailing Address - City:COKER
Mailing Address - State:AL
Mailing Address - Zip Code:35452-7038
Mailing Address - Country:US
Mailing Address - Phone:205-792-9923
Mailing Address - Fax:
Practice Address - Street 1:13219 DEASON CAMP RD
Practice Address - Street 2:
Practice Address - City:COKER
Practice Address - State:AL
Practice Address - Zip Code:35452-7038
Practice Address - Country:US
Practice Address - Phone:205-792-9923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5125C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical