Healthcare Provider Details

I. General information

NPI: 1992584643
Provider Name (Legal Business Name): MS. BRITTANY MICHELLE SARGENT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY MICHELLE LEE

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5807 TOPANGA CANYON BLVD APT M306
WOODLAND HILLS CA
91367-4652
US

IV. Provider business mailing address

5807 TOPANGA CANYON BLVD APT M306
WOODLAND HILLS CA
91367-4652
US

V. Phone/Fax

Practice location:
  • Phone: 818-400-9137
  • Fax:
Mailing address:
  • Phone: 818-400-9137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number147562
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: