MEDICARE: LISA BRITT LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH7352	FL

General Provider Information

NPI Number	:	1023246030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA BRITT LMHC

Provider Business Mailing Address
First Line	:	1175 WESTWOOD DR
Second Line	:
City	:	SAINT JOHNS
State	:	FL
Zip	:	32259-9293
Country	:	US
Telephone Number	:	904-466-1106
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 HAMPTON POINT DR STE 1
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32092-3054
Country	:	US
Telephone Number	:	904-466-1106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2009
Last Update Date	:	07/21/2022

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