Healthcare Provider Details

I. General information

NPI: 1508274911
Provider Name (Legal Business Name): BRITTANY HABERMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2014
Last Update Date: 12/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12701 PADGETT SWITCH RD
IRVINGTON AL
36544-4011
US

IV. Provider business mailing address

5750A SOUTHLAND DR
MOBILE AL
36693-3316
US

V. Phone/Fax

Practice location:
  • Phone: 251-824-2310
  • Fax: 251-824-2322
Mailing address:
  • Phone: 251-824-2310
  • Fax: 251-824-2322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3282
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: