Healthcare Provider Details

I. General information

NPI: 1508660507
Provider Name (Legal Business Name): BRITTANY LYNN AMMONS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9228 GEORGE WASHINGTON MEMORIAL HWY
GLOUCESTER VA
23061-4162
US

IV. Provider business mailing address

9228 GEORGE WASHINGTON MEMORIAL HWY
GLOUCESTER VA
23061-4162
US

V. Phone/Fax

Practice location:
  • Phone: 804-695-8120
  • Fax: 804-695-8122
Mailing address:
  • Phone: 804-695-8120
  • Fax: 804-695-8122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701014683
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: