Provider Demographics
NPI:1396485272
Name:DURLAUF, BRITTANY (MSW, CBHCM)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:DURLAUF
Suffix:
Gender:F
Credentials:MSW, CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:MARY ESTHER
Mailing Address - State:FL
Mailing Address - Zip Code:32569-1386
Mailing Address - Country:US
Mailing Address - Phone:850-712-5247
Mailing Address - Fax:
Practice Address - Street 1:603 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:MARY ESTHER
Practice Address - State:FL
Practice Address - Zip Code:32569-1386
Practice Address - Country:US
Practice Address - Phone:850-712-5247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW170431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical