Provider Demographics
NPI:1164769303
Name:HOWARD, BRITTANY KAY (QBHP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:KAY
Last Name:HOWARD
Suffix:
Gender:F
Credentials:QBHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11064
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-1001
Mailing Address - Country:US
Mailing Address - Phone:870-215-0673
Mailing Address - Fax:870-215-0683
Practice Address - Street 1:2711 W KINGSHIGHWAY STE 6
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-2645
Practice Address - Country:US
Practice Address - Phone:870-520-5014
Practice Address - Fax:870-520-5015
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR171M00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR241425795Medicaid