Provider Demographics
NPI:1740744416
Name:LEONARD, BRITTANY (LMHC, MT-BC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:LEONARD
Suffix:
Gender:F
Credentials:LMHC, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 APEX DR STE 300A
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-1977
Mailing Address - Country:US
Mailing Address - Phone:774-527-0608
Mailing Address - Fax:508-318-8912
Practice Address - Street 1:11 APEX DR STE 300A
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1977
Practice Address - Country:US
Practice Address - Phone:774-527-0608
Practice Address - Fax:508-318-8912
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-28
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12761101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health