Provider Demographics
NPI:1124677612
Name:HAGY, BRITTANY BYRD (LPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:BYRD
Last Name:HAGY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 WOODSTOCK RD STE 3250
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-5622
Mailing Address - Country:US
Mailing Address - Phone:678-249-0072
Mailing Address - Fax:
Practice Address - Street 1:1905 WOODSTOCK RD STE 3250
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-5622
Practice Address - Country:US
Practice Address - Phone:678-249-0072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-06
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012472101YP2500X
GAAPC006869101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health