Provider Demographics
NPI:1790334225
Name:WILLIAMS, BRITTANY LA'TRELL
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LA'TRELL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LA'TRELL
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:22050 EASTSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-7220
Mailing Address - Country:US
Mailing Address - Phone:346-342-6739
Mailing Address - Fax:
Practice Address - Street 1:22050 EASTSIDE DR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7220
Practice Address - Country:US
Practice Address - Phone:346-342-6739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80606101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health