Provider Demographics
NPI:1043799786
Name:TARRIS, BRITTON ADOLFO (LCSW, LMFT)
Entity type:Individual
Prefix:MR
First Name:BRITTON
Middle Name:ADOLFO
Last Name:TARRIS
Suffix:
Gender:
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:ILION
Mailing Address - State:NY
Mailing Address - Zip Code:13357-2324
Mailing Address - Country:US
Mailing Address - Phone:315-717-5787
Mailing Address - Fax:
Practice Address - Street 1:3 ELLINWOOD CT
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-1116
Practice Address - Country:US
Practice Address - Phone:315-717-5787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001671106H00000X
NY0933381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist