Provider Demographics
NPI:1851820120
Name:GIRGENTI, BRITTNEY M (MA)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:M
Last Name:GIRGENTI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7140 FLEUR COVE DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-8524
Mailing Address - Country:US
Mailing Address - Phone:407-739-2683
Mailing Address - Fax:
Practice Address - Street 1:7140 FLEUR COVE DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-8524
Practice Address - Country:US
Practice Address - Phone:407-739-2683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17694101YM0800X
FLMT3731106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health