Brett Tyler Dillard, B.S.W.
Individual provider Active NPI Mental Health Counselor · Pontotoc, MS
NPI 1003136672 · NPPES record last updated Jun 7, 2010
Key facts
- NPI
- 1003136672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 39 Lafayette St
Pontotoc, MS 38863-2837 - Phone
- (662) 509-6759
- Fax
- (662) 509-6761
- NPI assigned
- Jun 7, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
39 Lafayette St
Pontotoc, MS 38863-2837
Mailing address
39 Lafayette St
Pontotoc, MS 38863-2837
Phone (662) 509-9300
Other providers in Pontotoc, MS
- Clayton Family Dentistry, PLLC
- Anna Grace Clayton
- Matthew Carter Clayton
- Coccia Vision Care
- Traci A Cox
- Steven Nicholas Dirmeyer
- Enduracare Acute Care Services LLC
- Tabatha Enis
- Teresa L Fitts
- Flavia H West MD
All providers in Pontotoc, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.