Organization · NPI-2

Brittany S. Newman, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Crestview, FL

NPI number1851059182
StatusActive
Last updated in NPPESDec 3, 2021

Details

NPI
1851059182
Entity type
Organization (NPI-2)
Legal business name
Brittany S. Newman, LLC
Organization subpart
No
Enumeration date
Dec 3, 2021
Certification date
Dec 3, 2021
Last updated
Dec 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

502 E 2nd Ave
Crestview, FL 32536-2514

Phone 850-778-8718

Mailing address

123 Twin Oak Dr
Crestview, FL 32536-9383

Phone 850-778-8718

Authorized official

Brittany Sue Newman
Owner
8507788718

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