Provider Demographics
NPI:1164908620
Name:HORTON, BRITTANY ELIZABETH (LMHC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ELIZABETH
Last Name:HORTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2479 BENTLEY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:CANTONMENT
Mailing Address - State:FL
Mailing Address - Zip Code:32533-7884
Mailing Address - Country:US
Mailing Address - Phone:850-417-5436
Mailing Address - Fax:
Practice Address - Street 1:2479 BENTLEY OAKS DR
Practice Address - Street 2:
Practice Address - City:CANTONMENT
Practice Address - State:FL
Practice Address - Zip Code:32533-7884
Practice Address - Country:US
Practice Address - Phone:850-417-5436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13669101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH13669OtherFLORIDA DEPARTMENT OF HEALTH