Healthcare Provider Details

I. General information

NPI: 1730669003
Provider Name (Legal Business Name): BRITTANY DAVIS KLEPAC LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 FALLS BASHAN RD
MOODUS CT
06469-1230
US

IV. Provider business mailing address

128 BARNARD AVE
ASHEVILLE NC
28804-3253
US

V. Phone/Fax

Practice location:
  • Phone: 860-266-2228
  • Fax: 860-264-6077
Mailing address:
  • Phone: 828-507-6648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number009809
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14087
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14087
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: