Provider Demographics
NPI:1033070578
Name:BRITT KELLY COUNSELING, PLLC
Entity type:Organization
Organization Name:BRITT KELLY COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:AIMEE
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:253-342-3558
Mailing Address - Street 1:9116 GRAVELLY LAKE DR SW STE 107
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-3148
Mailing Address - Country:US
Mailing Address - Phone:253-342-3558
Mailing Address - Fax:
Practice Address - Street 1:9116 GRAVELLY LAKE DR SW STE 107
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-3148
Practice Address - Country:US
Practice Address - Phone:253-342-3558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRITT KELLY COUNSELING, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty