Provider Demographics
NPI:1871898551
Name:EDIE, BRITTANY (LCPC)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:EDIE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 SAINT BARTHOLOMEW RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-9725
Mailing Address - Country:US
Mailing Address - Phone:443-988-0338
Mailing Address - Fax:
Practice Address - Street 1:1812 BALTIMORE BLVD STE C
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-7144
Practice Address - Country:US
Practice Address - Phone:410-861-0036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013300101YP2500X
MDLC4791101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLC4791OtherSTATE LICENSE
PAPC013300OtherSTATE LICENSURE