Healthcare Provider Details

I. General information

NPI: 1366982555
Provider Name (Legal Business Name): JEANNETTE BRITO LCDP, LMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 VALLEY RD
MIDDLETOWN RI
02842-6400
US

IV. Provider business mailing address

42 VALLEY RD
MIDDLETOWN RI
02842-6400
US

V. Phone/Fax

Practice location:
  • Phone: 401-846-1213
  • Fax: 401-848-6398
Mailing address:
  • Phone: 401-846-1213
  • Fax: 401-848-6398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDP00883
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: