Healthcare Provider Details

I. General information

NPI: 1669385340
Provider Name (Legal Business Name): BRITTANY ARIANA BORZILLO PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 MCARTHUR DR
LOCUST GROVE GA
30248-6029
US

IV. Provider business mailing address

8735 DUNWOODY PL STE R
SANDY SPRINGS GA
30350-2995
US

V. Phone/Fax

Practice location:
  • Phone: 404-465-4589
  • Fax:
Mailing address:
  • Phone: 404-465-4589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License NumberPSY900407
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY900407
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: