1679172910 NPI number — BRITTANY KATHRYN RENEE PHILLIPS HUNT LMFT155519

Table of content: BRITTANY KATHRYN RENEE PHILLIPS HUNT LMFT155519 (NPI 1679172910)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679172910 NPI number — BRITTANY KATHRYN RENEE PHILLIPS HUNT LMFT155519

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PHILLIPS HUNT
Provider First Name:
BRITTANY
Provider Middle Name:
KATHRYN RENEE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT155519
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HUNT L'ESTRANGE
Provider Other First Name:
BRITTANY
Provider Other Middle Name:
KATHRYN RENEE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMFT155519
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1679172910
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
680 CAMINO DE LA REINA APT 2403
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92108-3279
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-890-3314
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3767 CENTRAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92105-2599
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-278-0777
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  155519 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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