Provider Demographics
NPI:1245953355
Name:PENA, BRITTANY DANIELLE (LPC-A)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DANIELLE
Last Name:PENA
Suffix:
Gender:
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6211 SHADY BRK
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-2700
Mailing Address - Country:US
Mailing Address - Phone:361-455-1024
Mailing Address - Fax:
Practice Address - Street 1:6211 SHADY BRK
Practice Address - Street 2:
Practice Address - City:WINDCREST
Practice Address - State:TX
Practice Address - Zip Code:78239-2700
Practice Address - Country:US
Practice Address - Phone:361-455-1024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-22
Last Update Date:2025-03-06
Deactivation Date:2023-02-05
Deactivation Code:
Reactivation Date:2025-03-06
Provider Licenses
StateLicense IDTaxonomies
TX89624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional