Basic Information
Provider Information
NPI: 1689192759
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SWAIN
FirstName: BRITTNEY
MiddleName: E.
NamePrefix:  
NameSuffix:  
Credential: PLMHP, PLADC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: FINKRAL
OtherFirstName: BRITTNEY
OtherMiddleName: E.
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 333 W NORFOLK AVE STE 201
Address2:  
City: NORFOLK
State: NE
PostalCode: 687015221
CountryCode: US
TelephoneNumber: 4023792030
FaxNumber: 4023793933
Practice Location
Address1: 333 W NORFOLK AVE STE 201
Address2:  
City: NORFOLK
State: NE
PostalCode: 687015221
CountryCode: US
TelephoneNumber: 4023792030
FaxNumber: 4023793933
Other Information
ProviderEnumerationDate: 09/08/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X11296NEY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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