Brittlie Agostino, LCPC

Individual provider Active NPI Mental Health Counselor · Salisbury, MD

NPI 1831805340 · NPPES record last updated Feb 4, 2025

Key facts

NPI
1831805340
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LC16082 (MD)
Practice address
309 Mill Pond LN Apt 176
Salisbury, MD 21804-2145
Phone
(302) 466-5259
NPI assigned
Jan 27, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LC16082MDMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC16082 MD Yes

Addresses

Primary practice location

309 Mill Pond LN Apt 176
Salisbury, MD 21804-2145

Mailing address

309 Mill Pond LN Apt 176
Salisbury, MD 21804-2145

Other providers in Salisbury, MD

All providers in Salisbury, MD · Mental Health Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.