MEDICARE: KACI BRYANT LPC

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	101YP2500X	Professional Counselor	78292	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	78292	OTHER	TX	TX STATE BOARD OF PROFESSIONAL COUNSELORS

General Provider Information

NPI Number	:	1841841939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KACI BRYANT LPC

Provider Business Mailing Address
First Line	:	18026 BROADBLUFF LN
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-5930
Country	:	US
Telephone Number	:	346-412-0822
Fax Number	:

Provider Business Practice Location Address
First Line	:	18026 BROADBLUFF LN
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-5930
Country	:	US
Telephone Number	:	346-412-0822
Fax Number	:

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

Provider Enumeration Date	:	09/20/2019
Last Update Date	:	06/09/2026

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Directions to “ KACI BRYANT LPC” Practice Location

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