Provider Demographics
NPI:1962175000
Name:HARDEN, BRITTANY (LPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:HARDEN
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 1:34 OVERLOOK AVE # 2
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-2710
Mailing Address - Country:US
Mailing Address - Phone:856-265-6830
Mailing Address - Fax:
Practice Address - Street 1:120 W 7TH ST STE 215
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1629
Practice Address - Country:US
Practice Address - Phone:908-548-8187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00775900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty