Provider Demographics
NPI:1477341030
Name:DILLARD, BRIANNA GABRIELLE
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:GABRIELLE
Last Name:DILLARD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 BROOKSTONE CENTRE PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-9219
Mailing Address - Country:US
Mailing Address - Phone:706-940-5677
Mailing Address - Fax:
Practice Address - Street 1:2301 BROOKSTONE CENTRE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-9219
Practice Address - Country:US
Practice Address - Phone:706-940-5677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health