Doctor Name: | LISA BRITT |
NPI Number: | 1023246030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH7352 |
Business Practice Address: | 1637 Race Track Rd Suite 208 Saint Johns, FL - 322593239 |
Business Phone Number: | 9044661106 |
Business Fax Number: | 9044366065 |
Mailing Address: | 1637 Race Track Rd, Suite 208 SAINT JOHNS |
State: | FL |
Postal Code: | 322593239 |
Phone Number: | 9044661106 |
Fax Number: | 9044366065 |
NPI Enumeration Date: | 06/29/2009 |
NPI Last Update Date: | 06/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH7352 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |