Healthcare Provider Details

I. General information

NPI: 1538887781
Provider Name (Legal Business Name): BRITTNEY EISENZIMMER MS, LAC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTNEY SCHWINN MS, LAC, LPCC

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1237 W DIVIDE AVE STE 5
BISMARCK ND
58501-1208
US

IV. Provider business mailing address

1237 W DIVIDE AVE STE 5
BISMARCK ND
58501-1208
US

V. Phone/Fax

Practice location:
  • Phone: 701-328-8888
  • Fax:
Mailing address:
  • Phone: 701-328-8696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1899
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1251-11-15-22-621
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: