Clark, Brittany Kristin

Clark, Brittany Kristin is an individual health care provider with primary practice located at 511 18Th St , West Babylon NY 11704-2205. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clark, Brittany Kristin can be contacted via phone (631) 758-0474.

Contact Information

Primary practice address
511 18Th St West Babylon NY 11704-2205
Phone: (631) 758-0474
Fax: (631) 758-0467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 009119 New York

Profile Details

NPI number 1255040069
LBN Legal business name Clark, Brittany Kristin
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2022
Last updated Nov 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255040069 NPPES
New York Other 009119 LMHC LICENSE

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