Provider Demographics
NPI:1376972885
Name:BRITT, ROSHON
Entity Type:Individual
Prefix:
First Name:ROSHON
Middle Name:
Last Name:BRITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 MOYER RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-2439
Mailing Address - Country:US
Mailing Address - Phone:757-323-1292
Mailing Address - Fax:804-441-8722
Practice Address - Street 1:393 DENBIGH BLVD STE A
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-3758
Practice Address - Country:US
Practice Address - Phone:757-323-1292
Practice Address - Fax:804-441-8722
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710102393101YA0400X
VA0701005621101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)