Provider Demographics
NPI:1467818385
Name:BRITT, KIM ELLEN (CPRP)
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:ELLEN
Last Name:BRITT
Suffix:
Gender:F
Credentials:CPRP
Other - Prefix:MS
Other - First Name:KIM
Other - Middle Name:ELLEN
Other - Last Name:THIBAULT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-2912
Mailing Address - Country:US
Mailing Address - Phone:413-772-2181
Mailing Address - Fax:413-772-2032
Practice Address - Street 1:37 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2912
Practice Address - Country:US
Practice Address - Phone:413-772-2181
Practice Address - Fax:413-772-2032
Is Sole Proprietor?:No
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor