Healthcare Provider Details

I. General information

NPI: 1134411275
Provider Name (Legal Business Name): JANICE REAVES BRITT LCMHCS, LCAS, CCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2011
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 LYNNDALE CT STE C
GREENVILLE NC
27858-5462
US

IV. Provider business mailing address

620 LYNNDALE CT STE C
GREENVILLE NC
27858-5462
US

V. Phone/Fax

Practice location:
  • Phone: 252-375-3881
  • Fax:
Mailing address:
  • Phone: 252-752-8602
  • Fax: 252-847-1590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7509
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1366
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: