Provider Demographics
NPI:1104268598
Name:BARRITT-MCBRIDE, DOMINIQUE (MA, LMHC, NCC)
Entity type:Individual
Prefix:MRS
First Name:DOMINIQUE
Middle Name:
Last Name:BARRITT-MCBRIDE
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
Other - Prefix:MRS
Other - First Name:DOMINIQUE
Other - Middle Name:
Other - Last Name:BARRITT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMHC, NCC
Mailing Address - Street 1:PO BOX 536222
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32853-6222
Mailing Address - Country:US
Mailing Address - Phone:407-701-4230
Mailing Address - Fax:407-420-7296
Practice Address - Street 1:1516 E CONCORD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5412
Practice Address - Country:US
Practice Address - Phone:407-701-4230
Practice Address - Fax:407-783-0188
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11026101Y00000X, 101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional