Healthcare Provider Details
I. General information
NPI: 1689192759
Provider Name (Legal Business Name): BRITTNEY E. SWAIN PLMHP, PLADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/08/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
333 W NORFOLK AVE STE 201
NORFOLK NE
68701-5221
US
IV. Provider business mailing address
333 W NORFOLK AVE STE 201
NORFOLK NE
68701-5221
US
V. Phone/Fax
- Phone: 402-379-2030
- Fax: 402-379-3933
- Phone: 402-379-2030
- Fax: 402-379-3933
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 11296 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: