MEDICARE: BRITTANY ELMORE LICDC, 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	E.2606590	OH
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	LICDC.161693	OH

General Provider Information

NPI Number	:	1598112526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY ELMORE LICDC, LPC

Provider Business Mailing Address
First Line	:	3604 GINN DR
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2682
Country	:	US
Telephone Number	:	614-445-8131
Fax Number	:

Provider Business Practice Location Address
First Line	:	3604 GINN DR
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2682
Country	:	US
Telephone Number	:	937-768-9909
Fax Number	:

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

Provider Enumeration Date	:	05/19/2016
Last Update Date	:	03/19/2026

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