Provider Demographics
NPI:1881076735
Name:TENNANT, BRITTANY (MS, LPC, NCC, QMHP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:TENNANT
Suffix:
Gender:F
Credentials:MS, LPC, NCC, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 E BISON TRL
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-8006
Mailing Address - Country:US
Mailing Address - Phone:605-961-4746
Mailing Address - Fax:605-961-4747
Practice Address - Street 1:3240 E BISON TRL
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8006
Practice Address - Country:US
Practice Address - Phone:605-961-4746
Practice Address - Fax:605-961-4747
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-26
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC7343101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional