Healthcare Provider Details

I. General information

NPI: 1104484468
Provider Name (Legal Business Name): BRITTANY KOZLOWICZ LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY HARRIS MA, LPC

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53435 GRAND RIVER AVE
NEW HUDSON MI
48165-8521
US

IV. Provider business mailing address

2929 STEINER RD
MONROE MI
48162-9486
US

V. Phone/Fax

Practice location:
  • Phone: 517-492-0517
  • Fax:
Mailing address:
  • Phone: 734-536-4727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401222501
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: