Healthcare Provider Details

I. General information

NPI: 1538072889
Provider Name (Legal Business Name): JOEL BRYANT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 ALLEN TOUSSAINT BLVD STE 406
NEW ORLEANS LA
70124-2552
US

IV. Provider business mailing address

2422 ANNETTE ST
NEW ORLEANS LA
70119-1422
US

V. Phone/Fax

Practice location:
  • Phone: 504-266-5312
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: