Provider Demographics
NPI:1710754213
Name:YOUNG, BRITTNEY NAN (M ED, MA, LLPC)
Entity type:Individual
Prefix:MS
First Name:BRITTNEY
Middle Name:NAN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:M ED, MA, LLPC
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:NAN
Other - Last Name:CHURCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:903 HAZARD AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-1987
Mailing Address - Country:US
Mailing Address - Phone:269-377-3138
Mailing Address - Fax:
Practice Address - Street 1:125 N DAVIS ST
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MI
Practice Address - Zip Code:49097-1201
Practice Address - Country:US
Practice Address - Phone:269-612-6031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451024072101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health