Healthcare Provider Details

I. General information

NPI: 1447164249
Provider Name (Legal Business Name): BRITTANY MERCHANT RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 DUNLAWTON AVE STE 5E
PORT ORANGE FL
32127-8952
US

IV. Provider business mailing address

7901 4TH ST N STE 300
ST PETERSBURG FL
33702-4399
US

V. Phone/Fax

Practice location:
  • Phone: 386-610-4164
  • Fax:
Mailing address:
  • Phone: 386-610-4164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH29765
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: