Provider Demographics
NPI:1831746841
Name:BRITTIAN, CHERYLANN (LMFT)
Entity type:Individual
Prefix:
First Name:CHERYLANN
Middle Name:
Last Name:BRITTIAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:BRITTIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2114 WHIPPOORWILL RD
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-5832
Mailing Address - Country:US
Mailing Address - Phone:254-680-6933
Mailing Address - Fax:254-680-6936
Practice Address - Street 1:4400-2 E CENTRAL TEXAS EXPY STE C
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-7300
Practice Address - Country:US
Practice Address - Phone:254-680-6933
Practice Address - Fax:254-680-6936
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203376106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist