Provider Demographics
NPI:1740576685
Name:PHIFER, BRITNEY MOBLEY (LMFT)
Entity Type:Individual
Prefix:MS
First Name:BRITNEY
Middle Name:MOBLEY
Last Name:PHIFER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:ARDELL
Other - Last Name:MOBLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4601 PARK RD STE 400
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2284
Mailing Address - Country:US
Mailing Address - Phone:704-344-0491
Mailing Address - Fax:
Practice Address - Street 1:4601 PARK RD STE 400
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-2284
Practice Address - Country:US
Practice Address - Phone:704-344-0491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
NC1557106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist