Provider Demographics
NPI:1982972436
Name:PATTILLO, BRITTANY BEMIS (LPC/MHSP, MS, NCC)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:BEMIS
Last Name:PATTILLO
Suffix:
Gender:F
Credentials:LPC/MHSP, MS, NCC
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:ELISE
Other - Last Name:BEMIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC/MHSP, MS, NCC
Mailing Address - Street 1:910 TEAKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-7147
Mailing Address - Country:US
Mailing Address - Phone:865-936-6059
Mailing Address - Fax:
Practice Address - Street 1:305 WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4824
Practice Address - Country:US
Practice Address - Phone:865-936-6059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3123101YP2500X
101YM0800X
TN000601957101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool