Provider Demographics
NPI:1083179444
Name:EUBANKS, BRITTANY LYNITA (MSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:LYNITA
Last Name:EUBANKS
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7381 LA TIJERA BLVD UNIT 45671
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-7029
Mailing Address - Country:US
Mailing Address - Phone:310-896-3946
Mailing Address - Fax:310-679-0087
Practice Address - Street 1:100 W 64TH ST
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-1207
Practice Address - Country:US
Practice Address - Phone:310-896-3946
Practice Address - Fax:310-679-0087
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-09
Last Update Date:2023-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80061101YA0400X
CAASW921721041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical