Healthcare Provider Details

I. General information

NPI: 1336891670
Provider Name (Legal Business Name): BRITTANY TAYLOR BINDI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7108 LITTLE NECK PKWY
GLEN OAKS NY
11004-1127
US

IV. Provider business mailing address

7108 LITTLE NECK PKWY
GLEN OAKS NY
11004-1127
US

V. Phone/Fax

Practice location:
  • Phone: 847-366-7402
  • Fax:
Mailing address:
  • Phone: 847-366-7402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number015049
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: