Provider Demographics
NPI:1033588165
Name:BLYTHE, BRITTANY ANN (MA,NCC,LPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:BLYTHE
Suffix:
Gender:F
Credentials:MA,NCC,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 EDDYSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:EDDYSTONE
Mailing Address - State:PA
Mailing Address - Zip Code:19022-1316
Mailing Address - Country:US
Mailing Address - Phone:610-466-5378
Mailing Address - Fax:
Practice Address - Street 1:1219 EDDYSTONE AVE
Practice Address - Street 2:
Practice Address - City:EDDYSTONE
Practice Address - State:PA
Practice Address - Zip Code:19022-1316
Practice Address - Country:US
Practice Address - Phone:610-466-5378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-18
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YM0800X, 171M00000X
PAPC016889101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator