Healthcare Provider Details

I. General information

NPI: 1205230869
Provider Name (Legal Business Name): BRITTANY FRAVEL LISW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2014
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 W POINT AVE
AKRON OH
44333-2653
US

IV. Provider business mailing address

611 W POINT AVE
AKRON OH
44333-2653
US

V. Phone/Fax

Practice location:
  • Phone: 216-626-5937
  • Fax:
Mailing address:
  • Phone: 216-626-5937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.1700103-SUPV
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.1100635
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: