Provider Demographics
NPI:1588272058
Name:BURKE, BRITTNEY TAYLOR (MS, LPC-A, NCC, ADC)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:TAYLOR
Last Name:BURKE
Suffix:
Gender:F
Credentials:MS, LPC-A, NCC, ADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 OLD JOHN DODD RD
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-8349
Mailing Address - Country:US
Mailing Address - Phone:864-590-2964
Mailing Address - Fax:
Practice Address - Street 1:115 E MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-3017
Practice Address - Country:US
Practice Address - Phone:864-597-9493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLPCA7449101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health