Provider Demographics
NPI:1417397282
Name:WERTH, BRITTNEY J
Entity Type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:J
Last Name:WERTH
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 1:11251 CAMPFIELD DR UNIT 3308
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-3923
Mailing Address - Country:US
Mailing Address - Phone:904-994-2119
Mailing Address - Fax:
Practice Address - Street 1:3027 SANDIEGO RD.
Practice Address - Street 2:CHILDREN'S HOME SOCIETY
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207
Practice Address - Country:US
Practice Address - Phone:904-493-7744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health