Provider Demographics
NPI:1770080467
Name:VAUGHNS, BRITTANY CHANTELLE (LPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CHANTELLE
Last Name:VAUGHNS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 W BURLEIGH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-4917
Mailing Address - Country:US
Mailing Address - Phone:414-435-1115
Mailing Address - Fax:
Practice Address - Street 1:7900 W BURLEIGH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-4917
Practice Address - Country:US
Practice Address - Phone:414-435-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3876-226101YM0800X
104100000X
WI7710-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker