Healthcare Provider Details

I. General information

NPI: 1164120697
Provider Name (Legal Business Name): BRITTANY NAYLOR LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 W PARK PL
HENDERSON TN
38340-2027
US

IV. Provider business mailing address

541 W PARK PL
HENDERSON TN
38340-2027
US

V. Phone/Fax

Practice location:
  • Phone: 731-989-1007
  • Fax: 731-989-0704
Mailing address:
  • Phone: 731-989-1007
  • Fax: 731-989-0704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number13328
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: