Provider Demographics
NPI:1649514332
Name:LANDA, BRITTNEY FARLEY (MS, LMHC)
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:FARLEY
Last Name:LANDA
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:MS
Other - First Name:BRITTNEY
Other - Middle Name:FARLEY
Other - Last Name:GURSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMHC
Mailing Address - Street 1:357 NE 194TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3995
Mailing Address - Country:US
Mailing Address - Phone:786-294-8615
Mailing Address - Fax:
Practice Address - Street 1:357 NE 194TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-3995
Practice Address - Country:US
Practice Address - Phone:786-294-8615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011490101YM0800X
FLMH 14528101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health