Diana Althea Pattillo, L.C.S.W.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

SW3846 Issued in FL

Practice address

Ft Benning Asap
7950 Martin Loop
Ft Benning, GA 31905-0000

Phone

(706) 545-8371

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467549733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53695",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319953695",
            "telephone_number": "706-507-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FT BENNING ASAP",
            "address_2": "7950 MARTIN LOOP",
            "city": "FT BENNING",
            "state": "GA",
            "postal_code": "319050000",
            "telephone_number": "706-545-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTILLO",
        "first_name": "DIANA",
        "middle_name": "ALTHEA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "SW3846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Parker
• Rachna A Patel, M.D.
• Smitesh Jay Patel, O.D.
• Terry Susette Patrick, RDH
• Audrie Loren Pattenn, MD
• Robert James Pawloski Jr., PA-C
• Patrick R Peagler, ATC
• David Kramer Peak, MD
• Grant Perrine, DDS
• Andrea Nicole Pfeiffer, DMD

• Addiction (Substance Use Disorder) Counselor in Ft Benning, GA
• Providers in Ft Benning, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.