Provider Demographics
NPI:1942989066
Name:AGORSAH, BRITTANY ASANTEE PAULINE
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:ASANTEE PAULINE
Last Name:AGORSAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20695 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-1847
Mailing Address - Country:US
Mailing Address - Phone:424-271-7414
Mailing Address - Fax:
Practice Address - Street 1:20695 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-1847
Practice Address - Country:US
Practice Address - Phone:424-271-7414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
CAAMFT142030106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No172V00000XOther Service ProvidersCommunity Health Worker