Provider Demographics
NPI:1356722540
Name:GRANIERO, BRITTANY ROCHELLE (LMHC)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:ROCHELLE
Last Name:GRANIERO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 CHATLIN RD
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34691-3366
Mailing Address - Country:US
Mailing Address - Phone:727-943-4847
Mailing Address - Fax:
Practice Address - Street 1:2425 CHATLIN RD
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34691-3366
Practice Address - Country:US
Practice Address - Phone:727-943-4847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-12
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH15501OtherFLORIDA DEPT OF HEALTH