Healthcare Provider Details

I. General information

NPI: 1548134570
Provider Name (Legal Business Name): BRITTANY WRIGHT FARRELL MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5779 GETWELL RD BUILDING D, SUITE 3
SOUTHAVEN MS
38672
US

IV. Provider business mailing address

5779 GETWELL RD BUILDING D, SUITE 3
SOUTHAVEN MS
38672
US

V. Phone/Fax

Practice location:
  • Phone: 662-510-6507
  • Fax: 844-445-7727
Mailing address:
  • Phone: 662-510-6507
  • Fax: 844-445-7727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: