Healthcare Provider Details

I. General information

NPI: 1841100872
Provider Name (Legal Business Name): BRITTANI RUGGIERO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 W MAIN ST
FREEHOLD NJ
07728-2051
US

IV. Provider business mailing address

706 1/2 FLETCHER LAKE AVE UNIT 2
BRADLEY BEACH NJ
07720-1329
US

V. Phone/Fax

Practice location:
  • Phone: 732-475-0043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01291300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: