Provider Demographics
NPI:1730788290
Name:ELLIOTT, BRITTON MICHELE (LPC)
Entity type:Individual
Prefix:MS
First Name:BRITTON
Middle Name:MICHELE
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:BRITTON
Other - Middle Name:MICHELE
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:6318 RICHMOND AVE UNIT 1203
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-3686
Mailing Address - Country:US
Mailing Address - Phone:469-563-1753
Mailing Address - Fax:
Practice Address - Street 1:6318 RICHMOND AVE UNIT 1203
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-3686
Practice Address - Country:US
Practice Address - Phone:469-563-1753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-25
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional