Provider Demographics
NPI:1013482025
Name:TODD, BRITTANY JOHNSON (MAED, NCC, LPCA)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:JOHNSON
Last Name:TODD
Suffix:
Gender:F
Credentials:MAED, NCC, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 YORKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-5541
Mailing Address - Country:US
Mailing Address - Phone:843-833-1998
Mailing Address - Fax:
Practice Address - Street 1:4142 ROBINHOOD RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4739
Practice Address - Country:US
Practice Address - Phone:843-833-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13669103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling