MEDICARE: BRITTANY QYNN CURTIS M.S., LPC

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	6663	SC
2	101YP2500X	Professional Counselor	6663	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346626447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY QYNN CURTIS M.S., LPC

Provider Business Mailing Address
First Line	:	PO BOX 50932
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-0016
Country	:	US
Telephone Number	:	843-331-5350
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 HIGHWAY 17 N STE 201I
Second Line	:
City	:	SURFSIDE BEACH
State	:	SC
Zip	:	29575-6078
Country	:	US
Telephone Number	:	843-331-5350
Fax Number	:

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

Provider Enumeration Date	:	07/31/2015
Last Update Date	:	04/16/2018

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