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NPI Code Detail

MEDICARE: MS. BRITTANY SHAR'NYCE HENDERSON LPC, R-DMT

MEDICARE:  MS. BRITTANY SHAR'NYCE HENDERSON  LPC, R-DMT
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
1101YP2500XProfessional CounselorPC016999PA

General Provider Information

NPI Number : 1699527325
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRITTANY SHAR'NYCE HENDERSON LPC, R-DMT
Provider Business Mailing Address
First Line : 5500 WISSAHICKON AVE APT 305B
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-5612
Country : US
Telephone Number : 214-708-1116
Fax Number :
Provider Business Practice Location Address
First Line : 5500 WISSAHICKON AVE APT 305B
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-5612
Country : US
Telephone Number : 214-708-1116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2024
Last Update Date : 04/04/2024

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Directions to “ MS. BRITTANY SHAR'NYCE HENDERSON LPC, R-DMT” Practice Location

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