Basic Information
| Provider Information | |||||||||
| NPI: | 1346620168 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EATON | ||||||||
| FirstName: | BRITNI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.S., LPCA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8908 UNIONVILLE BRIEF RD | ||||||||
| Address2: | |||||||||
| City: | MONROE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281109049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7046353289 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 734 GREENWOOD ST | ||||||||
| Address2: | |||||||||
| City: | ALBEMARLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280019633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7049861500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2015 | ||||||||
| LastUpdateDate: | 06/06/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | A11460 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.