Provider Demographics
NPI:1912419573
Name:HEBERT, BRITTANY (LPC)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:
Last Name:HEBERT
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 1:809 SUMMER BREEZE DR APT 207
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-6196
Mailing Address - Country:US
Mailing Address - Phone:225-335-8736
Mailing Address - Fax:225-612-7008
Practice Address - Street 1:510 N RANGE AVE STE D
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-2925
Practice Address - Country:US
Practice Address - Phone:225-240-4005
Practice Address - Fax:225-612-7008
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-03
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5708261QM0801X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty