Brittany Henry, PHD

Individual provider Active NPI Marriage & Family Therapist · Baraga, MI

NPI 1992582217 · NPPES record last updated Sep 11, 2023

Key facts

NPI
1992582217
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
4101007382 (MI)
Practice address
102 N Superior Ave
Baraga, MI 49908
Phone
(906) 353-8700
Fax
(906) 353-5223
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4101007382MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keweenaw Bay Indian Community Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101007382 MI Yes

Addresses

Primary practice location

102 N Superior Ave
Baraga, MI 49908

Mailing address

102 S Superior Ave
Baraga, MI 49908-9673
Phone (906) 353-8700

Other providers in Baraga, MI

All providers in Baraga, MI · Marriage & Family Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.