Healthcare Provider Details

I. General information

NPI: 1922357607
Provider Name (Legal Business Name): BRITTNI ADKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2012
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 RANDALL PKWY # 4
WILMINGTON NC
28403-2829
US

IV. Provider business mailing address

5020 RANDALL PKWY
WILMINGTON NC
28403-2829
US

V. Phone/Fax

Practice location:
  • Phone: 440-530-0646
  • Fax:
Mailing address:
  • Phone: 440-530-0646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14907
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC1100456
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: