Healthcare Provider Details

I. General information

NPI: 1336059047
Provider Name (Legal Business Name): BRITTANY BRIANA LAMONT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY BRIANA LOPEZ

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3860 W 24TH ST STE 200
YUMA AZ
85364-9282
US

IV. Provider business mailing address

3860 W 24TH ST STE 200
YUMA AZ
85364-9282
US

V. Phone/Fax

Practice location:
  • Phone: 928-276-9225
  • Fax:
Mailing address:
  • Phone: 928-276-9225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW-23494
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: