Healthcare Provider Details

I. General information

NPI: 1255997508
Provider Name (Legal Business Name): BRITTANY LAPHAM LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 ARIZONA AVE
PLATTSBURGH NY
12903-4908
US

IV. Provider business mailing address

340 GERO RD
MOOERS FORKS NY
12959-2909
US

V. Phone/Fax

Practice location:
  • Phone: 515-565-4060
  • Fax:
Mailing address:
  • Phone: 518-420-4511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number017683
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number35497
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: