Healthcare Provider Details

I. General information

NPI: 1922930338
Provider Name (Legal Business Name): PETER PAUL BRITTINGHAM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 WILLIAMS DR SUITE 301
MURFREESBORO TN
37129
US

IV. Provider business mailing address

913 GREENVIEW DR
FAYETTEVILLE TN
37334-2262
US

V. Phone/Fax

Practice location:
  • Phone: 615-653-4115
  • Fax:
Mailing address:
  • Phone: 615-653-4115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: