Provider Demographics
NPI:1811443872
Name:COULTER, BRITTNEY
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:COULTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6267 E RENO AVE
Mailing Address - Street 2:APT A
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-2059
Mailing Address - Country:US
Mailing Address - Phone:405-314-8281
Mailing Address - Fax:405-842-8022
Practice Address - Street 1:6267 E RENO AVE
Practice Address - Street 2:APT A
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-2059
Practice Address - Country:US
Practice Address - Phone:405-314-8281
Practice Address - Fax:405-842-8022
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health