Provider Demographics
NPI:1982316634
Name:WOOD, BRITTANY DEANNA (MSED)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DEANNA
Last Name:WOOD
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9435 HIGHWAY 22A
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-6943
Mailing Address - Country:US
Mailing Address - Phone:731-614-2299
Mailing Address - Fax:
Practice Address - Street 1:9435 HIGHWAY 22A
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-6943
Practice Address - Country:US
Practice Address - Phone:731-614-2299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
TN6734101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor