Healthcare Provider Details

I. General information

NPI: 1538092234
Provider Name (Legal Business Name): BRITTANY NICOLE JOHNSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10299 WOODMAN RD
GLEN ALLEN VA
23060-4419
US

IV. Provider business mailing address

10299 WOODMAN RD
GLEN ALLEN VA
23060-4419
US

V. Phone/Fax

Practice location:
  • Phone: 804-727-8500
  • Fax: 804-727-8580
Mailing address:
  • Phone: 804-727-8500
  • Fax: 804-727-8580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701016222
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: