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BRITTANY BEARY PETHERBRIDGE COUNSELOR INTERN
NPI 1609559046
Counselor in Lady Lake, FL

Active since August 11, 2023
379 FENNELL BLVD, LADY LAKE, FL 32159(352) 633-5253 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brittany Beary Petherbridge Counselor Intern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRITTANY BEARY PETHERBRIDGE COUNSELOR INTERN (NPI 1609559046) is an individual counselor in Lady Lake, Florida, licensed in Florida (IMH24462) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1609559046
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameBRITTANY BEARY PETHERBRIDGECredential: COUNSELOR INTERN
Location Address379 FENNELL BLVDLady Lake, FL 32159-3185
Mailing Address379 Fennell BlvdLady Lake, FL 32159-3185 · (352) 633-5253
Phone(352) 633-5253
Sole ProprietorNo
Enumeration DateAugust 11, 2023
NPPES CertifiedAugust 11, 2023
✔ NPI 1609559046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in FL · IMH24462
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
379 FENNELL BLVD, Lady Lake, FL 32159
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEAGAN KRISTI HAVENSTEIN
Counselor (Mental Health)
379 FENNELL BLVD
LADY LAKE, FL 32159
Lake County (352) 633-5253
ORTHOCARE ORTHOTICS AND PROSTHETICS INC
Prosthetic/Orthotic Supplier
379 FENNELL BLVD
LADY LAKE, FL 32159
Lake County (352) 751-7265
ALAINA MARIE POTTER LMHC
Counselor (Mental Health)
379 FENNELL BLVD
LADY LAKE, FL 32159
Lake County (352) 633-5253

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brittany Petherbridge's NPI number?

The NPI number for Brittany Petherbridge is 1609559046. It was assigned to this individual provider in the NPPES registry on August 11, 2023.

Where is Brittany Petherbridge located?

Brittany Petherbridge practices at 379 Fennell Blvd, Lady Lake, FL 32159. The listed phone number is (352) 633-5253.

What is Brittany Petherbridge's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Brittany Petherbridge was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.