Provider Demographics
NPI:1932966389
Name:KBRITO LLC
Entity Type:Organization
Organization Name:KBRITO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEITY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-209-3141
Mailing Address - Street 1:4950 BROADWAY DR APT 1434
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7098
Mailing Address - Country:US
Mailing Address - Phone:305-209-5141
Mailing Address - Fax:
Practice Address - Street 1:1690 W 44TH PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-8401
Practice Address - Country:US
Practice Address - Phone:305-209-5141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty