Doctor Name: | BRITTANY POTTER |
NPI Number: | 1013381664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4700 Wichers Dr Ste 205 Marrero, LA - 700723054 |
Business Phone Number: | 5044070709 |
Business Fax Number: | |
Mailing Address: | 1406 Esplanade Ave, NEW ORLEANS |
State: | LA |
Postal Code: | 701161803 |
Phone Number: | 5043044097 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2015 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |