Healthcare Provider Details

I. General information

NPI: 1033605142
Provider Name (Legal Business Name): BRITTANNY RYAN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2018
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22776 THREE NOTCH RD STE 102
LEXINGTON PARK MD
20653-3369
US

IV. Provider business mailing address

22395 HOOD LN
LEONARDTOWN MD
20650-3551
US

V. Phone/Fax

Practice location:
  • Phone: 301-866-6333
  • Fax: 240-718-1906
Mailing address:
  • Phone: 240-925-1762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP8783
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC11663
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: