Provider Demographics
NPI:1376180612
Name:JOHNSON, BRITANICA N (MED, LPC, LCMHC-A,)
Entity Type:Individual
Prefix:MS
First Name:BRITANICA
Middle Name:N
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MED, LPC, LCMHC-A,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 CHERRY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3118
Mailing Address - Country:US
Mailing Address - Phone:803-203-3173
Mailing Address - Fax:
Practice Address - Street 1:502 CHERRY RD STE 201
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3118
Practice Address - Country:US
Practice Address - Phone:843-501-1099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8333101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional