Brazil, Kaitlin

Brazil, Kaitlin is an individual health care provider with primary practice located at 2201 N Broadwell Ave , Grand Island NE 68803-2153. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brazil, Kaitlin can be contacted via phone (308) 382-3660.

Contact Information

Primary practice address
2201 N Broadwell Ave Grand Island NE 68803-2153
Phone: (308) 382-3660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1942764352
LBN Legal business name Brazil, Kaitlin
Credentials MSW, PCMSW, PLMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2019
Last updated May 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942764352 NPPES
Nebraska Other 7331 STATE LICENSE
Nebraska Other 11747 STATE LICENSE

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