Provider Demographics
NPI:1609637891
Name:HARITOS, BRITTANY CELESTE
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:CELESTE
Last Name:HARITOS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:CELESTE
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9321 COUNTY ROAD 330
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:TX
Mailing Address - Zip Code:75831-3524
Mailing Address - Country:US
Mailing Address - Phone:979-219-9159
Mailing Address - Fax:
Practice Address - Street 1:1144 WEST COMMERCE STREET
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:TX
Practice Address - Zip Code:75831
Practice Address - Country:US
Practice Address - Phone:903-965-3121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204273106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist