Provider Demographics
NPI:1083060040
Name:KAI, BRITTANY RENEE (LPCC, LCMHC)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:RENEE
Last Name:KAI
Suffix:
Gender:F
Credentials:LPCC, LCMHC
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:RENEE
Other - Last Name:KOMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:5075 MORGANTON RD STE 10C #1437
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314
Mailing Address - Country:US
Mailing Address - Phone:910-370-1522
Mailing Address - Fax:
Practice Address - Street 1:4829 MCKINNON FARM RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-8918
Practice Address - Country:US
Practice Address - Phone:910-370-1522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1087101YM0800X
OHE.1800779101YM0800X
NC14658101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH332968Medicaid