Ms Diana Althea Pattillo, LCSW is a
Counselor - Addiction (substance Use Disorder) based in Ft Benning, Georgia. Ms Diana Althea Pattillo is licensed to practice in Florida (license number SW3846) and her current practice location is
Ft Benning Asap, 7950 Martin Loop, Ft Benning, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 545-8371.
NPI number for Ms Diana Althea Pattillo is 1467549733 and her current mailing address is Po Box 53695, Fort Benning, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467549733.
Healthcare Provider's Profile
Full Name | Ms Diana Althea Pattillo |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | Ft Benning Asap, Ft Benning, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467549733
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Diana Althea Pattillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467549733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | SW3846 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Diana Althea Pattillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Diana Althea Pattillo, LCSW Po Box 53695, Fort Benning, GA 31995-3695 Ph: (706) 507-4762 | Ms Diana Althea Pattillo, LCSW Ft Benning Asap, 7950 Martin Loop, Ft Benning, GA 31905-0000 Ph: (706) 545-8371 |
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