Healthcare Provider Details

I. General information

NPI: 1578452108
Provider Name (Legal Business Name): GABRIELLA DANIELLE PATTILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1748 LEWISBURG PIKE
FRANKLIN TN
37064-1103
US

IV. Provider business mailing address

1748 LEWISBURG PIKE STE 201
FRANKLIN TN
37064-1103
US

V. Phone/Fax

Practice location:
  • Phone: 615-567-3772
  • Fax:
Mailing address:
  • Phone: 615-567-3772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: