Provider Demographics
NPI:1134531585
Name:WILKINS, BRITTANY (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:WILKINS
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1427 PIEDMONT RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-2342
Mailing Address - Country:US
Mailing Address - Phone:850-294-7192
Mailing Address - Fax:
Practice Address - Street 1:207 N BOONE ST
Practice Address - Street 2:SUITE 27
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-5675
Practice Address - Country:US
Practice Address - Phone:423-444-3677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000057051041C0700X
FLSW102811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical