Provider Demographics
NPI:1790325199
Name:BARRETT, BRITTANY (CBHCMS)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:CBHCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3725 BELFORT RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-5813
Mailing Address - Country:US
Mailing Address - Phone:904-422-9790
Mailing Address - Fax:
Practice Address - Street 1:1526 PARENTAL HOME RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-3010
Practice Address - Country:US
Practice Address - Phone:904-772-5110
Practice Address - Fax:904-721-2912
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker