Provider Demographics
NPI:1538877733
Name:BECKHAM, BRITNI (LCMHC-A)
Entity type:Individual
Prefix:
First Name:BRITNI
Middle Name:
Last Name:BECKHAM
Suffix:
Gender:F
Credentials:LCMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 WATER OAK RD APT 5
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-2455
Mailing Address - Country:US
Mailing Address - Phone:704-968-7382
Mailing Address - Fax:
Practice Address - Street 1:4901 WATER OAK RD APT 5
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2455
Practice Address - Country:US
Practice Address - Phone:704-968-7382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18217101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health