Provider Demographics
NPI:1235020900
Name:PAINE, BRITNEY WILKINSON (LAPC, MED)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:WILKINSON
Last Name:PAINE
Suffix:
Gender:F
Credentials:LAPC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3665 WHEELER RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6596
Mailing Address - Country:US
Mailing Address - Phone:706-250-3902
Mailing Address - Fax:
Practice Address - Street 1:3665 WHEELER RD STE 1A
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6596
Practice Address - Country:US
Practice Address - Phone:706-250-3902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAINTERN101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional