MEDICARE: DR. CARMEN MELANIE BRYANT M.A., ED. D., LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH60411457	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104119015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARMEN MELANIE BRYANT M.A., ED. D., LMHC

Provider Business Mailing Address
First Line	:	PO BOX 45549
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98448
Country	:	US
Telephone Number	:	253-414-4796
Fax Number	:	253-292-2039

Provider Business Practice Location Address
First Line	:	4301 S PINE ST STE 78
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98409-7252
Country	:	US
Telephone Number	:	253-414-4796
Fax Number	:	253-292-2039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2011
Last Update Date	:	02/12/2026

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