Provider Demographics
NPI:1134803455
Name:PAYNE, BRITTANY ALYSSA (LMSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ALYSSA
Last Name:PAYNE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8480 CHIMNEYROCK BLVD
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-5155
Mailing Address - Country:US
Mailing Address - Phone:901-239-2995
Mailing Address - Fax:
Practice Address - Street 1:8480 CHIMNEYROCK BLVD
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-5155
Practice Address - Country:US
Practice Address - Phone:901-239-2995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14540104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker