Healthcare Provider Details
I. General information
NPI: 1942055744
Provider Name (Legal Business Name): BRITTANY ALEXANDRIA GURNEY MHC-LP, MS, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/23/2024
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
808 UNION ST STE 2B
BROOKLYN NY
11215-1375
US
IV. Provider business mailing address
808 UNION ST STE 2B
BROOKLYN NY
11215-1375
US
V. Phone/Fax
- Phone: 347-545-0816
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | P127941 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: