Healthcare Provider Details

I. General information

NPI: 1780316430
Provider Name (Legal Business Name): BRITTANY DEUTCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2022
Last Update Date: 06/29/2022
Certification Date: 06/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8527 MAYLAND DR STE 108
RICHMOND VA
23294-4753
US

IV. Provider business mailing address

3127 W FRANKLIN ST APT 1
RICHMOND VA
23221-1605
US

V. Phone/Fax

Practice location:
  • Phone: 804-404-9695
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701011588
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: