Provider Demographics
NPI:1043970890
Name:KUO, BRITTA HELENE (HEALTH & WELLNESS CO)
Entity Type:Individual
Prefix:MS
First Name:BRITTA
Middle Name:HELENE
Last Name:KUO
Suffix:
Gender:F
Credentials:HEALTH & WELLNESS CO
Other - Prefix:MS
Other - First Name:BRITTA
Other - Middle Name:HELENE
Other - Last Name:BEACHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SAA
Mailing Address - Street 1:236 STATE STREET
Mailing Address - Street 2:APT 210
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12305
Mailing Address - Country:US
Mailing Address - Phone:201-540-7232
Mailing Address - Fax:
Practice Address - Street 1:236 STATE STREET
Practice Address - Street 2:APT 210
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305
Practice Address - Country:US
Practice Address - Phone:201-540-7232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-21
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty