Provider Demographics
NPI:1740425461
Name:BRITT, JENNA LEA (LPC, MHSP)
Entity Type:Individual
Prefix:DR
First Name:JENNA
Middle Name:LEA
Last Name:BRITT
Suffix:
Gender:F
Credentials:LPC, MHSP
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:LEA
Other - Last Name:KIMBROUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:367B N PARKWAY STE 1
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-2899
Mailing Address - Country:US
Mailing Address - Phone:731-668-2277
Mailing Address - Fax:731-660-0510
Practice Address - Street 1:367B N PARKWAY STE 1
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-2899
Practice Address - Country:US
Practice Address - Phone:731-668-2277
Practice Address - Fax:731-660-0510
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2356101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health