Healthcare Provider Details

I. General information

NPI: 1114850278
Provider Name (Legal Business Name): BRITTNEY KING LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 E 800 N
BLANDING UT
84511-3558
US

IV. Provider business mailing address

1732 SAGEBRUSH AVE
REXBURG ID
83440-4338
US

V. Phone/Fax

Practice location:
  • Phone: 208-881-7161
  • Fax:
Mailing address:
  • Phone: 208-881-7161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-9906
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: