Provider Demographics
NPI:1811437072
Name:BRITTANY HARGROVE
Entity type:Organization
Organization Name:BRITTANY HARGROVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:252-425-9948
Mailing Address - Street 1:7139 W FRIENDLY AVE
Mailing Address - Street 2:APT F
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-6298
Mailing Address - Country:US
Mailing Address - Phone:252-425-9948
Mailing Address - Fax:
Practice Address - Street 1:7139 W FRIENDLY AVE
Practice Address - Street 2:APT F
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-6298
Practice Address - Country:US
Practice Address - Phone:252-425-9948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC009680101YA0400X, 261QM0850X, 261QM0855X, 261QM1300X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty