Provider Demographics
NPI:1306426424
Name:ALEX BRITO COUNSELING LLC
Entity type:Organization
Organization Name:ALEX BRITO COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR & LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:BRITO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:616-414-4197
Mailing Address - Street 1:1047 CALIFORNIA ST NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504-5403
Mailing Address - Country:US
Mailing Address - Phone:616-264-7907
Mailing Address - Fax:
Practice Address - Street 1:1345 MONROE AVE NW STE 209
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-4663
Practice Address - Country:US
Practice Address - Phone:616-414-4197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty