Provider Demographics
NPI:1144208018
Name:BRITT, ROBIN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:BRITT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6040 CAMP BOWIE BLVD
Mailing Address - Street 2:STE 55
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-5612
Mailing Address - Country:US
Mailing Address - Phone:682-472-2663
Mailing Address - Fax:817-569-4948
Practice Address - Street 1:2128 ROSALINDA PASS
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131-1555
Practice Address - Country:US
Practice Address - Phone:817-522-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-02
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61348101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX61348OtherLPC BOARD