Provider Demographics
NPI:1093585531
Name:HINES, BRITTANY CRITZER (MA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CRITZER
Last Name:HINES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1619 COLONIAL AVE
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23430-5828
Mailing Address - Country:US
Mailing Address - Phone:757-705-5051
Mailing Address - Fax:
Practice Address - Street 1:11835 FISHING POINT DRIVE, STE 202
Practice Address - Street 2:
Practice Address - City:NEW PORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606
Practice Address - Country:US
Practice Address - Phone:757-705-5051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704012684101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional