Provider Demographics
NPI:1760180996
Name:CUBLEY, BRITNY MONTGOMERY (MS, PLPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:BRITNY
Middle Name:MONTGOMERY
Last Name:CUBLEY
Suffix:
Gender:
Credentials:MS, PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9521 OVERCROSS ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-7655
Mailing Address - Country:US
Mailing Address - Phone:318-347-1846
Mailing Address - Fax:
Practice Address - Street 1:3605 YOUREE DR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-2121
Practice Address - Country:US
Practice Address - Phone:318-615-9006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC9372101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor