Healthcare Provider Details

I. General information

NPI: 1578057725
Provider Name (Legal Business Name): BRITTANY KURSTIN REECE LCSW, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 MICAVILLE LOOP STE 600
BURNSVILLE NC
28714-1818
US

IV. Provider business mailing address

PO BOX 27
BAKERSVILLE NC
28705-0027
US

V. Phone/Fax

Practice location:
  • Phone: 828-675-0001
  • Fax: 828-675-5961
Mailing address:
  • Phone: 828-688-2104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-25215
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC013294
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: