Provider Demographics
NPI:1861019846
Name:LEDFORD, BRITNEY (LMFT)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:
Last Name:LEDFORD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 NORTHSIDE DR NW APT 104
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2666
Mailing Address - Country:US
Mailing Address - Phone:256-310-4452
Mailing Address - Fax:
Practice Address - Street 1:1760 NORTHSIDE DR NW APT 104
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2666
Practice Address - Country:US
Practice Address - Phone:256-310-4452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001504106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist