Healthcare Provider Details

I. General information

NPI: 1043876014
Provider Name (Legal Business Name): BRITTANY L NETTINGHAM LPC, LSATP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY L VICKERS

II. Dates (important events)

Enumeration Date: 05/15/2019
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 GREENBRIER CIR STE 100
CHESAPEAKE VA
23320-2645
US

IV. Provider business mailing address

816 GREENBRIER CIR STE 100
CHESAPEAKE VA
23320-2645
US

V. Phone/Fax

Practice location:
  • Phone: 757-301-8747
  • Fax:
Mailing address:
  • Phone: 757-301-8747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810009082
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701008021
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0718000405
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: