MEDICARE: BRITTANY FITZERALD LMFT-A

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	106H00000X	Marriage & Family Therapist	204900	TX

General Provider Information

NPI Number	:	1568156685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY FITZERALD LMFT-A

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4298
Country	:	US
Telephone Number	:	832-318-0843
Fax Number	:

Provider Business Practice Location Address
First Line	:	10401 S MASON RD STE E-503
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5885
Country	:	US
Telephone Number	:	832-318-0843
Fax Number	:

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

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	07/02/2026

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