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NPI Code Detail

MEDICARE: BRITTANY DENT LPC

MEDICARE: BRITTANY DENT LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor5022LA
2101YP2500XProfessional Counselor5022LA

General Provider Information

NPI Number : 1407275795
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY DENT LPC
Provider Business Mailing Address
First Line : 1152 PATRICIA ST
Second Line :
City : BAKER
State : LA
Zip : 70714-3524
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4845 JAMESTOWN AVE
Second Line : SUITE 212
City : BATON ROUGE
State : LA
Zip : 70808-3247
Country : US
Telephone Number : 225-454-5538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2014
Last Update Date : 12/17/2020

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