Healthcare Provider Details

I. General information

NPI: 1629817390
Provider Name (Legal Business Name): BRITTANY HENRY-JAMES MS, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 WEST BLVD
RAPID CITY SD
57701-3577
US

IV. Provider business mailing address

920 SAINT JAMES ST
RAPID CITY SD
57701-4542
US

V. Phone/Fax

Practice location:
  • Phone: 605-728-1129
  • Fax:
Mailing address:
  • Phone: 605-728-1129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC20980
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: