Provider Demographics
NPI:1437586245
Name:BRITTO, BOBBI (LPC)
Entity Type:Individual
Prefix:
First Name:BOBBI
Middle Name:
Last Name:BRITTO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7450 GOLDEN POND PL
Mailing Address - Street 2:SUITE 500
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79121-1996
Mailing Address - Country:US
Mailing Address - Phone:806-356-9047
Mailing Address - Fax:806-356-9046
Practice Address - Street 1:7450 GOLDEN POND PL
Practice Address - Street 2:SUITE 500
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121-1996
Practice Address - Country:US
Practice Address - Phone:806-356-9047
Practice Address - Fax:806-356-9046
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-11
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68063101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional