Healthcare Provider Details

I. General information

NPI: 1154140853
Provider Name (Legal Business Name): BRITTANY MITTON TLLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 08/24/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S CRAPO ST
MOUNT PLEASANT MI
48858-2941
US

IV. Provider business mailing address

4750 E BLUE GRASS RD APT D3
MT PLEASANT MI
48858-9831
US

V. Phone/Fax

Practice location:
  • Phone: 989-772-5930
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6352000927
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: